Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $724.44	Professional		$380.19	$524.81	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $1,698.24	Professional		$407.38	$489.78	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $186.21	Facility		$95.50	$95.50	$186.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $912.01 / $912.01	Professional		$302.00	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Facility		$660.69	$660.69	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $758.58	Professional		$562.34	$602.56	$758.58
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 / $1,096.48	Professional		$630.96	$831.76	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,981.07 / $3,981.07	Facility		$851.14	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $512.86 / $794.33	Facility		$51.29	$512.86	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $724.44	Professional		$501.19	$562.34	$724.44
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 $22.39 / $288.40 / $524.81	Facility		$22.39	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $831.76	Professional		$338.84	$446.68	$831.76