Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,165.95 / $10,471.29	Facility		$2,137.96	$6,165.95	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,819.70	Professional		$977.24	$1,258.93	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $7,762.47	Facility		$3,801.89	$7,585.78	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $3,090.30	Professional		$239.88	$346.74	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $4,265.80	Facility		$1,949.84	$3,467.37	$4,265.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,511.89	Professional		$891.25	$1,148.15	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $5,128.61	Facility		$1,023.29	$2,137.96	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $2,290.87	Professional		$1,513.56	$1,659.59	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,630.27	Professional		$1,380.38	$1,659.59	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $11,481.54	Professional		$7,585.78	$11,481.54	$11,481.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,981.07	Facility		$1,148.15	$1,819.70	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,659.59	Professional		$1,513.56	$1,659.59	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $22,908.68	Professional		$1,202.26	$1,698.24	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,513.56 / $1,513.56	Facility		$630.96	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $2,951.21	Professional		$630.96	$630.96	$2,951.21