Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,546.67 / $2,546.67 / $2,842.80	Facility		$2,546.67	$2,546.67	$2,842.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,842.80 / $3,487.30 / $5,154.79	Professional		$2,842.80	$3,487.30	$5,154.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $509.31 / $1,356.56	Facility		$424.16	$509.31	$1,356.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,613.97 / $4,548.30 / $11,217.95	Professional		$3,613.97	$4,548.30	$11,217.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,027.92 / $1,476.90	Facility		$97.00	$1,027.92	$1,476.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,191.07 / $7,026.27 / $9,686.40	Professional		$5,191.07	$7,026.27	$9,686.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $5,030.60 / $6,354.61	Facility		$422.50	$5,030.60	$6,354.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $6,708.75	Professional		$422.50	$4,550.34	$6,708.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,398.43 / $7,398.43 / $8,878.12	Professional		$7,398.43	$7,398.43	$8,878.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,422.00 / $5,727.00	Professional		$393.93	$4,422.00	$5,727.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $29,293.49 / $30,361.48	Facility		$100.00	$29,293.49	$30,361.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.19 / $3,218.82 / $7,426.16	Facility		$558.19	$3,218.82	$7,426.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $422.50 / $4,550.34	Professional		$422.50	$422.50	$4,550.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7,398.43 / $7,398.43 / $11,097.65	Professional		$7,398.43	$7,398.43	$11,097.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,732.47 / $3,123.63 / $5,995.75	Professional		$2,732.47	$3,123.63	$5,995.75