Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.01 / $938.01 / $1,047.08	Facility		$938.01	$938.01	$1,047.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.01 / $1,493.53 / $2,462.44	Professional		$938.01	$1,493.53	$2,462.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $187.60 / $499.66	Facility		$156.22	$187.60	$499.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.18 / $1,703.17 / $3,236.89	Professional		$1,505.18	$1,703.17	$3,236.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,864.49 / $5,439.90	Facility		$97.00	$2,864.49	$5,439.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,896.91 / $3,921.06 / $5,405.57	Professional		$2,896.91	$3,921.06	$5,405.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $2,340.76	Facility		$1,950.00	$1,950.00	$2,340.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,657.50 / $3,611.25	Professional		$1,657.50	$1,657.50	$3,611.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,270.90 / $2,270.90 / $2,725.08	Professional		$2,270.90	$2,270.90	$2,725.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,845.00 / $2,389.00	Professional		$393.93	$1,845.00	$2,389.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,849.33 / $17,045.09 / $17,666.53	Facility		$2,849.33	$17,045.09	$17,666.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.50 / $1,703.17 / $3,860.52	Facility		$311.50	$1,703.17	$3,860.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,950.00 / $1,950.00	Professional		$1,657.50	$1,950.00	$1,950.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,270.90 / $2,270.90 / $3,406.35	Professional		$2,270.90	$2,270.90	$3,406.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,206.42 / $1,344.18 / $2,956.49	Professional		$1,206.42	$1,344.18	$2,956.49