Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $2,454.71	Facility		$724.44	$758.58	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,047.13	Professional		$691.83	$1,047.13	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $501.19	Professional		$457.09	$489.78	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,258.93 / $1,659.59	Facility		$100.00	$1,258.93	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,445.44	Professional		$616.60	$831.76	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,137.96	Facility		$691.83	$1,047.13	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,174.90	Professional		$691.83	$831.76	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $1,258.93	Facility		$776.25	$812.83	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $707.95	Professional		$44.67	$44.67	$707.95