Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $724.44	Professional		$302.00	$501.19	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $1,995.26	Professional		$371.54	$724.44	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $1,174.90	Facility		$181.97	$181.97	$1,174.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $676.08	Facility		$457.09	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $1,122.02	Professional		$389.05	$457.09	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $741.31	Professional		$616.60	$616.60	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $831.76	Professional		$630.96	$660.69	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $5,128.61	Facility		$891.25	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $630.96 / $1,000.00	Facility		$269.15	$630.96	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $537.03	Professional		$389.05	$457.09	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $354.81 / $691.83	Facility		$42.66	$354.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,071.52	Professional		$446.68	$549.54	$1,071.52