Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.91 / $601.87 / $1,049.67	Professional		$421.91	$601.87	$1,049.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $76.47 / $76.47	Facility		$69.01	$76.47	$76.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.71 / $972.22 / $1,355.30	Professional		$764.71	$972.22	$1,355.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,630.72 / $1,630.72 / $1,630.72	Facility		$1,630.72	$1,630.72	$1,630.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $943.12	Facility		$833.40	$833.40	$943.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.39 / $833.40 / $1,571.25	Professional		$708.39	$833.40	$1,571.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.79 / $1,143.79 / $1,372.55	Professional		$1,143.79	$1,143.79	$1,372.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,011.00 / $1,086.59	Professional		$638.07	$1,011.00	$1,086.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.10 / $7,110.09 / $7,369.29	Facility		$1,148.10	$7,110.09	$7,369.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $839.85 / $1,374.19	Facility		$437.50	$839.85	$1,374.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $708.39 / $833.40 / $944.00	Professional		$708.39	$833.40	$944.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,143.79 / $1,143.79 / $1,143.79	Professional		$1,143.79	$1,143.79	$1,143.79
United Facility/Professional Professional Modifier Low / Median / High Price $531.60 / $668.58 / $1,145.50	Professional		$531.60	$668.58	$1,145.50