Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.83 / $464.83 / $518.88	Facility		$464.83	$464.83	$518.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $554.21 / $1,041.48	Professional		$518.88	$554.21	$1,041.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $92.87 / $247.37	Facility		$77.34	$92.87	$247.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.40 / $843.70 / $2,202.23	Professional		$717.40	$843.70	$2,202.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $193.39 / $283.47	Facility		$96.60	$193.39	$283.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $946.77 / $946.77 / $1,490.73	Professional		$946.77	$946.77	$1,490.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $1,159.99	Facility		$775.91	$775.91	$1,159.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.52 / $659.52 / $1,428.75	Professional		$659.52	$659.52	$1,428.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.24 / $1,302.24 / $1,562.69	Professional		$1,302.24	$1,302.24	$1,562.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,108.00 / $1,435.00	Professional		$393.93	$1,108.00	$1,435.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.09 / $6,750.76 / $6,996.89	Facility		$1,093.09	$6,750.76	$6,996.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $702.12 / $1,618.12	Facility		$123.36	$702.12	$1,618.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.52 / $659.52 / $775.91	Professional		$457.52	$659.52	$775.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,302.24 / $1,302.24 / $1,953.36	Professional		$1,302.24	$1,302.24	$1,953.36
United Facility/Professional Professional Modifier Low / Median / High Price $541.98 / $621.25 / $1,251.73	Professional		$541.98	$621.25	$1,251.73