Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.19 / $698.19 / $779.38	Facility		$698.19	$698.19	$779.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.38 / $956.05 / $1,820.32	Professional		$779.38	$956.05	$1,820.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $139.63 / $371.92	Facility		$116.29	$139.63	$371.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.40 / $1,190.90 / $2,813.42	Professional		$1,120.40	$1,190.90	$2,813.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $289.67 / $517.28	Facility		$97.00	$289.67	$517.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,177.96 / $2,947.94 / $4,064.02	Professional		$2,177.96	$2,947.94	$4,064.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $1,742.06	Facility		$144.19	$144.19	$1,742.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $2,951.25	Professional		$122.56	$144.19	$2,951.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.43 / $1,950.43 / $2,340.52	Professional		$1,950.43	$1,950.43	$2,340.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,448.00 / $1,875.00	Professional		$393.93	$1,448.00	$1,875.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $11,834.20 / $12,265.69	Facility		$100.00	$11,834.20	$12,265.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.97 / $1,067.11 / $2,836.58	Facility		$207.97	$1,067.11	$2,836.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $211.75	Professional		$122.56	$144.19	$211.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,950.43 / $1,950.43 / $2,925.65	Professional		$1,950.43	$1,950.43	$2,925.65
United Facility/Professional Professional Modifier Low / Median / High Price $833.51 / $898.89 / $1,934.85	Professional		$833.51	$898.89	$1,934.85