Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.46 / $1,009.14 / $1,799.85	Professional		$707.46	$1,009.14	$1,799.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.73 / $128.22 / $128.22	Facility		$115.73	$128.22	$128.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.80 / $1,282.27 / $2,309.50	Professional		$991.80	$1,282.27	$2,309.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,734.39 / $2,734.39 / $2,734.39	Facility		$2,734.39	$2,734.39	$2,734.39
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 $991.83 / $1,071.00 / $1,581.28	Facility		$991.83	$1,071.00	$1,581.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.35 / $1,071.00 / $2,677.50	Professional		$910.35	$1,071.00	$2,677.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.05 / $1,653.05 / $1,983.66	Professional		$1,653.05	$1,653.05	$1,983.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,598.02 / $2,006.00	Professional		$638.07	$1,598.02	$2,006.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.29 / $10,363.37 / $10,741.18	Facility		$1,659.29	$10,363.37	$10,741.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.95 / $1,124.07 / $2,484.02	Facility		$230.95	$1,124.07	$2,484.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.35 / $1,071.00 / $1,318.54	Professional		$910.35	$1,071.00	$1,318.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,653.05 / $1,653.05 / $1,653.05	Professional		$1,653.05	$1,653.05	$1,653.05
United Facility/Professional Professional Modifier Low / Median / High Price $779.59 / $972.04 / $1,414.97	Professional		$779.59	$972.04	$1,414.97