Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,380.38	Professional		$588.84	$954.99	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $4,570.88	Professional		$724.44	$1,412.54	$4,570.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $2,290.87	Facility		$338.84	$338.84	$2,290.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,318.26	Facility		$501.19	$501.19	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $2,089.30	Professional		$426.58	$501.19	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Professional		$1,202.26	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,513.56	Professional		$630.96	$831.76	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $10,232.93	Facility		$1,995.26	$10,232.93	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $1,949.84	Facility		$602.56	$1,258.93	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Professional		$426.58	$426.58	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $691.83 / $1,230.27	Facility		$83.18	$691.83	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,862.09	Professional		$891.25	$1,047.13	$1,862.09