Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,238.72	Facility		$1,819.70	$1,819.70	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $501.19 / $1,230.27	Facility		$100.00	$501.19	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,380.38 / $3,890.45	Facility		$549.54	$1,380.38	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,698.24	Professional		$398.11	$398.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,412.54 / $2,884.03	Facility		$575.44	$1,412.54	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $66.07	Professional		$25.70	$47.86	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00