Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.28 / $860.34 / $1,784.36	Professional		$628.28	$860.34	$1,784.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $127.12 / $127.12	Facility		$114.73	$127.12	$127.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.20 / $1,271.24 / $2,289.69	Professional		$983.20	$1,271.24	$2,289.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,710.71 / $2,710.71 / $2,710.71	Facility		$2,710.71	$2,710.71	$2,710.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,327.02 / $1,327.02	Professional		$100.00	$1,327.02	$1,327.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.24 / $1,082.51 / $1,567.57	Facility		$983.24	$1,082.51	$1,567.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.13 / $1,082.51 / $2,655.00	Professional		$920.13	$1,082.51	$2,655.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.73 / $1,638.73 / $1,966.48	Professional		$1,638.73	$1,638.73	$1,966.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,584.18 / $2,054.00	Professional		$638.07	$1,584.18	$2,054.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.91 / $10,273.09 / $10,647.60	Facility		$1,644.91	$10,273.09	$10,647.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.97 / $1,114.33 / $2,462.39	Facility		$228.97	$1,114.33	$2,462.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $1,082.51 / $1,114.99	Professional		$194.62	$1,082.51	$1,114.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,638.73 / $1,638.73 / $1,638.73	Professional		$1,638.73	$1,638.73	$1,638.73
United Facility/Professional Professional Modifier Low / Median / High Price $766.11 / $963.59 / $1,317.71	Professional		$766.11	$963.59	$1,317.71