Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.67 / $615.66 / $1,036.58	Professional		$431.67	$615.66	$1,036.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $78.25 / $78.25	Facility		$70.62	$78.25	$78.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.48 / $1,037.47 / $1,561.21	Professional		$782.48	$1,037.47	$1,561.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,668.44 / $1,668.44 / $1,668.44	Facility		$1,668.44	$1,668.44	$1,668.44
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 $867.37 / $867.37 / $965.14	Facility		$867.37	$867.37	$965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $867.37 / $1,530.00	Professional		$737.26	$867.37	$1,530.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.24 / $1,170.24 / $1,404.29	Professional		$1,170.24	$1,170.24	$1,404.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,111.73 / $1,337.00	Professional		$638.07	$1,111.73	$1,337.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.66 / $7,230.47 / $7,494.08	Facility		$1,174.66	$7,230.47	$7,494.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.62 / $867.37 / $1,404.29	Facility		$447.62	$867.37	$1,404.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.26 / $867.37 / $884.00	Professional		$737.26	$867.37	$884.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,170.24 / $1,170.24 / $1,170.24	Professional		$1,170.24	$1,170.24	$1,170.24
United Facility/Professional Professional Modifier Low / Median / High Price $543.90 / $660.24 / $1,389.93	Professional		$543.90	$660.24	$1,389.93