Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,230.27	Professional		$501.19	$851.14	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $3,801.89	Professional		$602.56	$1,202.26	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,905.46	Facility		$302.00	$302.00	$1,905.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,122.02	Facility		$912.01	$912.01	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,862.09	Professional		$758.58	$912.01	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,621.81	Professional		$1,348.96	$1,348.96	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,288.25	Professional		$630.96	$831.76	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,912.51 / $8,912.51	Facility		$1,348.96	$8,912.51	$8,912.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,047.13 / $1,698.24	Facility		$512.86	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $912.01	Professional		$512.86	$758.58	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $467.74 / $1,047.13	Facility		$51.29	$467.74	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,412.54	Professional		$602.56	$794.33	$1,412.54