Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.83 / $536.74 / $772.52	Professional		$480.83	$536.74	$772.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $57.25 / $57.25	Facility		$51.67	$57.25	$57.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.50 / $639.60 / $1,313.84	Professional		$572.50	$639.60	$1,313.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $176.33 / $176.33 / $176.33	Facility		$176.33	$176.33	$176.33
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 $612.00 / $612.00 / $855.87	Facility		$612.00	$612.00	$855.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.50 / $612.00 / $817.50	Professional		$477.50	$612.00	$817.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.20 / $1,279.20 / $1,535.04	Professional		$1,279.20	$1,279.20	$1,535.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $865.00 / $865.00	Professional		$638.07	$865.00	$865.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $791.83 / $3,513.43 / $3,641.54	Facility		$791.83	$3,513.43	$3,641.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $547.91 / $919.97	Facility		$80.50	$547.91	$919.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $612.00 / $680.00	Professional		$382.00	$612.00	$680.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,279.20 / $1,279.20 / $1,279.20	Professional		$1,279.20	$1,279.20	$1,279.20
United Facility/Professional Professional Modifier Low / Median / High Price $350.59 / $385.89 / $626.92	Professional		$350.59	$385.89	$626.92