Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.12 / $706.26 / $1,187.26	Professional		$495.12	$706.26	$1,187.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $89.74 / $89.74	Facility		$80.98	$89.74	$89.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.41 / $1,141.00 / $1,514.70	Professional		$897.41	$1,141.00	$1,514.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,913.70 / $1,913.70 / $1,913.70	Facility		$1,913.70	$1,913.70	$1,913.70
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 $642.26 / $642.26 / $1,106.81	Facility		$642.26	$642.26	$1,106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $1,755.00	Professional		$545.91	$642.26	$1,755.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.27 / $1,342.27 / $1,610.72	Professional		$1,342.27	$1,342.27	$1,610.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,118.39 / $1,275.16	Professional		$638.07	$1,118.39	$1,275.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.80 / $8,276.54 / $8,578.26	Facility		$1,344.80	$8,276.54	$8,578.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $949.95 / $1,599.49	Facility		$513.41	$949.95	$1,599.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $795.40	Professional		$545.91	$642.26	$795.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,342.27 / $1,342.27 / $1,342.27	Professional		$1,342.27	$1,342.27	$1,342.27
United Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $756.24 / $1,118.94	Professional		$616.10	$756.24	$1,118.94