Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,309.57 / $10,471.29	Facility		$2,137.96	$6,309.57	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,698.24	Professional		$954.99	$1,258.93	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $7,762.47	Facility		$3,890.45	$7,762.47	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $3,162.28	Professional		$512.86	$741.31	$3,162.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,467.37 / $4,365.16	Facility		$1,122.02	$3,467.37	$4,365.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,570.40	Professional		$891.25	$1,148.15	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $5,128.61	Facility		$1,023.29	$1,995.26	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,290.87	Professional		$1,548.82	$1,698.24	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,691.53	Professional		$1,380.38	$1,698.24	$2,691.53
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 $1,174.90 / $1,862.09 / $3,981.07	Facility		$1,174.90	$1,862.09	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,698.24	Professional		$1,548.82	$1,698.24	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $22,908.68	Professional		$1,230.27	$1,737.80	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,548.82 / $1,548.82	Facility		$645.65	$1,548.82	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,951.21	Professional		$645.65	$645.65	$2,951.21