Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $776.25	Professional		$478.63	$537.03	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $2,187.76	Professional		$562.34	$616.60	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Facility		$151.36	$151.36	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Facility		$616.60	$616.60	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $812.83	Professional		$478.63	$524.81	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,548.82	Professional		$1,288.25	$1,288.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,630.78 / $3,630.78	Facility		$794.33	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $549.54 / $933.25	Facility		$83.18	$549.54	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $616.60	Professional		$380.19	$524.81	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $269.15 / $478.63	Facility		$32.36	$269.15	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $776.25	Professional		$316.23	$416.87	$776.25