Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.24 / $742.01 / $1,309.01	Professional		$520.24	$742.01	$1,309.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $94.29 / $94.29	Facility		$85.10	$94.29	$94.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.94 / $1,198.81 / $1,696.20	Professional		$942.94	$1,198.81	$1,696.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,010.78 / $2,010.78 / $2,010.78	Facility		$2,010.78	$2,010.78	$2,010.78
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 $799.37 / $799.37 / $1,162.90	Facility		$799.37	$799.37	$1,162.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $1,965.00	Professional		$679.46	$799.37	$1,965.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.45 / $1,063.45 / $1,276.14	Professional		$1,063.45	$1,063.45	$1,276.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,251.00 / $1,339.84	Professional		$638.07	$1,251.00	$1,339.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,126.33 / $8,901.35 / $9,225.87	Facility		$2,126.33	$8,901.35	$9,225.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.46 / $1,156.82 / $1,720.36	Facility		$539.46	$1,156.82	$1,720.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $940.90	Professional		$679.46	$799.37	$940.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,063.45 / $1,063.45 / $1,063.45	Professional		$1,063.45	$1,063.45	$1,063.45
United Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $903.69 / $1,771.94	Professional		$833.76	$903.69	$1,771.94