Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.48 / $1,004.48 / $1,121.28	Facility		$1,004.48	$1,004.48	$1,121.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.83 / $1,337.35 / $1,873.63	Professional		$1,085.83	$1,337.35	$1,873.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $170.79 / $454.89	Facility		$142.22	$170.79	$454.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.36 / $1,823.88 / $3,039.80	Professional		$1,425.36	$1,823.88	$3,039.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $368.04 / $556.08	Facility		$96.60	$368.04	$556.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,025.30 / $2,025.30 / $2,227.81	Professional		$2,025.30	$2,025.30	$2,227.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $1,717.06 / $2,506.53	Facility		$143.00	$1,717.06	$2,506.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.13 / $1,503.13 / $2,925.00	Professional		$1,503.13	$1,503.13	$2,925.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,785.63 / $2,785.63 / $3,342.76	Professional		$2,785.63	$2,785.63	$3,342.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,792.00 / $2,321.00	Professional		$393.93	$1,792.00	$2,321.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,352.91 / $9,676.59 / $10,029.39	Facility		$3,352.91	$9,676.59	$10,029.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.37 / $1,183.74 / $2,512.69	Facility		$184.37	$1,183.74	$2,512.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $1,503.13 / $1,759.99	Professional		$143.00	$1,503.13	$1,759.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,785.63 / $2,785.63 / $4,178.45	Professional		$2,785.63	$2,785.63	$4,178.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.22 / $1,186.28 / $2,134.73	Professional		$1,070.22	$1,186.28	$2,134.73