Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.06 / $571.91 / $815.82	Professional		$489.06	$571.91	$815.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.99 / $39.88 / $39.88	Facility		$35.99	$39.88	$39.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.80 / $596.35 / $1,047.28	Professional		$398.80	$596.35	$1,047.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $187.90 / $187.90 / $187.90	Facility		$187.90	$187.90	$187.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $919.85 / $919.85	Professional		$100.00	$919.85	$919.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.75 / $654.75 / $911.96	Facility		$654.75	$654.75	$911.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $600.00 / $785.70	Professional		$556.54	$600.00	$785.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.08 / $1,363.08 / $1,635.70	Professional		$1,363.08	$1,363.08	$1,635.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,079.10 / $1,098.08	Professional		$638.07	$1,079.10	$1,098.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $843.63 / $2,522.61 / $2,572.03	Facility		$843.63	$2,522.61	$2,572.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $511.16 / $804.78	Facility		$50.40	$511.16	$804.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.16 / $654.75 / $885.89	Professional		$511.16	$654.75	$885.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,363.08 / $1,363.08 / $1,363.08	Professional		$1,363.08	$1,363.08	$1,363.08
United Facility/Professional Professional Modifier Low / Median / High Price $381.67 / $430.93 / $801.48	Professional		$381.67	$430.93	$801.48