Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.20 / $571.57 / $886.89	Professional		$391.20	$571.57	$886.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $72.63 / $1,696.18	Facility		$65.55	$72.63	$1,696.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $834.78 / $1,131.90	Professional		$10.72	$834.78	$1,131.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,548.72 / $1,548.72 / $1,548.72	Facility		$1,548.72	$1,548.72	$1,548.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $779.42 / $1,039.21	Professional		$100.00	$779.42	$1,039.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $1,039.21	Facility		$251.69	$251.69	$1,039.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $1,687.50	Professional		$213.94	$251.69	$1,687.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $865.90 / $865.90 / $1,039.08	Professional		$865.90	$865.90	$1,039.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $963.02 / $982.00	Professional		$638.07	$963.02	$982.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,177.13 / $3,292.99	Facility		$100.00	$3,177.13	$3,292.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $540.15 / $986.32	Facility		$130.80	$540.15	$986.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $251.69 / $595.00	Professional		$213.94	$251.69	$595.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $865.90 / $865.90 / $865.90	Professional		$865.90	$865.90	$865.90
United Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $453.47 / $702.20	Professional		$388.69	$453.47	$702.20