Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,096.48	Professional		$676.08	$776.25	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $3,311.31	Professional		$851.14	$891.25	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $281.84	Facility		$208.93	$208.93	$281.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,380.38 / $1,380.38	Professional		$676.08	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $977.24	Facility		$812.83	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,148.15	Professional		$691.83	$812.83	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,454.71	Professional		$2,041.74	$2,041.74	$2,454.71
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 $1,122.02 / $5,128.61 / $5,128.61	Facility		$1,122.02	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $776.25 / $1,318.26	Facility		$114.82	$776.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $691.83 / $831.76	Professional		$676.08	$691.83	$831.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $380.19 / $676.08	Facility		$44.67	$380.19	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,122.02	Professional		$446.68	$588.84	$1,122.02