Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.78 / $808.08 / $1,099.06	Professional		$682.78	$808.08	$1,099.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.42 / $88.00 / $88.00	Facility		$79.42	$88.00	$88.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $913.60 / $2,242.54	Professional		$854.61	$913.60	$2,242.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $280.39 / $280.39 / $280.39	Facility		$280.39	$280.39	$280.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,372.70 / $1,372.70	Professional		$100.00	$1,372.70	$1,372.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $1,217.74	Facility		$816.59	$816.59	$1,217.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $816.59 / $1,151.25	Professional		$694.10	$816.59	$1,151.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.00 / $2,034.00 / $2,440.80	Professional		$2,034.00	$2,034.00	$2,440.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,351.00 / $1,351.00	Professional		$638.07	$1,351.00	$1,351.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.99 / $4,925.89 / $5,105.49	Facility		$1,126.99	$4,925.89	$5,105.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.12 / $786.95 / $1,291.83	Facility		$112.12	$786.95	$1,291.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.79 / $816.59 / $968.40	Professional		$682.79	$816.59	$968.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,034.00 / $2,034.00 / $2,034.00	Professional		$2,034.00	$2,034.00	$2,034.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.82 / $563.50 / $845.24	Professional		$498.82	$563.50	$845.24