Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $836.22 / $1,408.25	Professional		$586.17	$836.22	$1,408.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $106.24 / $106.24	Facility		$95.88	$106.24	$106.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.44 / $1,350.80 / $1,812.07	Professional		$1,062.44	$1,350.80	$1,812.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,265.62 / $2,265.62 / $2,265.62	Facility		$2,265.62	$2,265.62	$2,265.62
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 $504.00 / $504.00 / $1,310.39	Facility		$504.00	$504.00	$1,310.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $504.00 / $2,081.25	Professional		$428.40	$504.00	$2,081.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.22 / $1,198.22 / $1,437.86	Professional		$1,198.22	$1,198.22	$1,437.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,368.00 / $1,509.65	Professional		$638.07	$1,368.00	$1,509.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,007.90 / $9,825.29 / $10,183.48	Facility		$2,007.90	$9,825.29	$10,183.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.83 / $1,256.78 / $1,898.69	Facility		$607.83	$1,256.78	$1,898.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $504.00 / $1,042.75	Professional		$428.40	$504.00	$1,042.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,198.22 / $1,198.22 / $1,198.22	Professional		$1,198.22	$1,198.22	$1,198.22
United Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $971.75 / $1,814.03	Professional		$897.00	$971.75	$1,814.03