Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.21 / $1,525.81 / $2,721.44	Professional		$958.21	$1,525.81	$2,721.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.97 / $193.87 / $193.87	Facility		$174.97	$193.87	$193.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,938.71 / $2,570.80 / $4,162.06	Professional		$1,938.71	$2,570.80	$4,162.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $394.66 / $394.66 / $394.66	Facility		$394.66	$394.66	$394.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,391.03	Facility		$2,160.00	$2,160.00	$2,391.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $4,050.00	Professional		$1,836.00	$2,160.00	$4,050.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,862.96 / $2,862.96 / $3,435.55	Professional		$2,862.96	$2,862.96	$3,435.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,306.42 / $2,729.00	Professional		$638.07	$2,306.42	$2,729.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $15,669.80 / $16,241.11	Facility		$100.00	$15,669.80	$16,241.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.33 / $1,745.64 / $3,755.94	Facility		$333.33	$1,745.64	$3,755.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $2,904.98	Professional		$1,836.00	$2,160.00	$2,904.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,862.96 / $2,862.96 / $2,862.96	Professional		$2,862.96	$2,862.96	$2,862.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,233.83 / $1,469.64 / $3,207.28	Professional		$1,233.83	$1,469.64	$3,207.28