Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,023.29	Professional		$416.87	$707.95	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $3,235.94	Professional		$512.86	$1,023.29	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,621.81	Facility		$251.19	$251.19	$1,621.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $933.25	Facility		$831.76	$831.76	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,584.89	Professional		$707.95	$831.76	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Professional		$1,148.15	$1,148.15	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,096.48	Professional		$630.96	$831.76	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $7,413.10 / $7,413.10	Facility		$1,148.15	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $891.25 / $1,412.54	Facility		$436.52	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $933.25	Professional		$707.95	$707.95	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $398.11 / $891.25	Facility		$43.65	$398.11	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,174.90	Professional		$512.86	$676.08	$1,174.90