Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $613.14 / $1,093.63	Professional		$429.84	$613.14	$1,093.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $77.91 / $77.91	Facility		$70.31	$77.91	$77.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.08 / $990.50 / $1,403.30	Professional		$779.08	$990.50	$1,403.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,661.35 / $1,661.35 / $1,661.35	Facility		$1,661.35	$1,661.35	$1,661.35
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 $606.51 / $606.51 / $960.98	Facility		$606.51	$606.51	$960.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $606.51 / $1,627.50	Professional		$515.53	$606.51	$1,627.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.27 / $1,165.27 / $1,398.32	Professional		$1,165.27	$1,165.27	$1,398.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,045.00 / $1,107.01	Professional		$638.07	$1,045.00	$1,107.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.67 / $7,407.45 / $7,677.52	Facility		$1,169.67	$7,407.45	$7,677.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $876.60 / $1,431.65	Facility		$445.72	$876.60	$1,431.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $606.51 / $740.00	Professional		$515.53	$606.51	$740.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,165.27 / $1,165.27 / $1,165.27	Professional		$1,165.27	$1,165.27	$1,165.27
United Facility/Professional Professional Modifier Low / Median / High Price $544.76 / $697.80 / $954.24	Professional		$544.76	$697.80	$954.24