Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $1,484.29 / $3,848.38	Facility		$455.43	$1,484.29	$3,848.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $2,202.60	Professional		$455.43	$455.43	$2,202.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $13,793.78	Facility		$203.00	$614.00	$13,793.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $237.12 / $388.96	Professional		$208.00	$237.12	$388.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,252.73 / $1,789.61 / $4,474.92	Professional		$1,252.73	$1,789.61	$4,474.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.45 / $4,617.18 / $9,216.49	Facility		$1,816.45	$4,617.18	$9,216.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $3,166.24 / $3,716.89	Professional		$2,753.25	$3,166.24	$3,716.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,477.92 / $3,166.24 / $5,258.71	Professional		$2,477.92	$3,166.24	$5,258.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,790.66 / $13,077.94 / $13,077.94	Facility		$4,790.66	$13,077.94	$13,077.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,711.19 / $13,711.19 / $20,649.38	Professional		$13,711.19	$13,711.19	$20,649.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,789.61 / $3,303.90 / $7,305.19	Facility		$1,789.61	$3,303.90	$7,305.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $3,028.58 / $4,129.88	Professional		$2,753.25	$3,028.58	$4,129.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,202.60 / $2,808.32 / $4,680.53	Professional		$2,202.60	$2,808.32	$4,680.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,156.36 / $6,629.55	Professional		$1,156.36	$1,156.36	$6,629.55