Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.31 / $378.31 / $422.30	Facility		$378.31	$378.31	$422.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $518.00 / $842.39	Professional		$422.30	$518.00	$842.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $75.66 / $201.53	Facility		$63.01	$75.66	$201.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $692.23 / $1,286.76	Professional		$598.29	$692.23	$1,286.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.21 / $163.21 / $232.10	Facility		$96.21	$163.21	$232.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $799.03 / $799.03 / $1,154.29	Professional		$799.03	$799.03	$1,154.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $546.85 / $846.27	Facility		$71.50	$546.85	$846.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.85 / $739.60 / $1,471.88	Professional		$546.85	$739.60	$1,471.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.91 / $1,098.91 / $1,318.69	Professional		$1,098.91	$1,098.91	$1,318.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,046.28 / $5,230.27	Facility		$100.00	$5,046.28	$5,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $524.64 / $1,209.55	Facility		$95.53	$524.64	$1,209.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $739.60 / $867.43	Professional		$81.20	$739.60	$867.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,098.91 / $1,098.91 / $1,648.37	Professional		$1,098.91	$1,098.91	$1,648.37
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $60.22 / $525.98	Professional		$51.01	$60.22	$525.98