Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.80 / $420.80 / $469.73	Facility		$420.80	$420.80	$469.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.80 / $490.74 / $729.41	Professional		$420.80	$490.74	$729.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $81.64 / $217.44	Facility		$67.98	$81.64	$217.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.05 / $653.40 / $1,569.62	Professional		$560.05	$653.40	$1,569.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $166.22 / $258.18	Facility		$95.50	$166.22	$258.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $888.76 / $888.76 / $888.76	Professional		$888.76	$888.76	$888.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $1,049.89	Facility		$545.00	$545.00	$1,049.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $545.00 / $866.25	Professional		$463.25	$545.00	$866.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.56 / $1,222.56 / $1,467.07	Professional		$1,222.56	$1,222.56	$1,467.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $801.00 / $810.00	Professional		$393.93	$801.00	$810.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $989.50 / $3,720.55 / $3,856.19	Facility		$989.50	$3,720.55	$3,856.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $511.49 / $974.20	Facility		$72.69	$511.49	$974.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.25 / $545.00 / $635.41	Professional		$463.25	$545.00	$635.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,222.56 / $1,222.56 / $1,833.84	Professional		$1,222.56	$1,222.56	$1,833.84
United Facility/Professional Professional Modifier Low / Median / High Price $430.07 / $493.79 / $1,075.67	Professional		$430.07	$493.79	$1,075.67