Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $363.29 / $544.77	Professional		$296.14	$363.29	$544.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $50.54 / $1,100.90	Facility		$45.61	$50.54	$1,100.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.10 / $682.41 / $790.04	Professional		$501.10	$682.41	$790.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,144.61 / $1,144.61 / $1,144.61	Facility		$1,144.61	$1,144.61	$1,144.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $768.05	Professional		$100.00	$100.00	$768.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $768.05	Facility		$459.79	$459.79	$768.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $739.80	Professional		$390.82	$459.79	$739.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $493.20 / $591.84	Professional		$493.20	$493.20	$591.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $762.70 / $851.00	Professional		$638.07	$762.70	$851.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $805.87 / $3,203.72 / $3,320.49	Facility		$805.87	$3,203.72	$3,320.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $421.09 / $825.52	Facility		$96.70	$421.09	$825.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $685.00	Professional		$390.82	$459.79	$685.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $493.20 / $493.20	Professional		$493.20	$493.20	$493.20
United Facility/Professional Professional Modifier Low / Median / High Price $294.06 / $341.21 / $655.73	Professional		$294.06	$341.21	$655.73