Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.68 / $1,074.98 / $2,080.19	Professional		$817.68	$1,074.98	$2,080.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.75 / $148.19 / $148.19	Facility		$133.75	$148.19	$148.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.39 / $1,886.60 / $2,735.57	Professional		$1,380.39	$1,886.60	$2,735.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,686.33 / $2,686.33 / $2,686.33	Facility		$2,686.33	$2,686.33	$2,686.33
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 $1,639.62 / $1,639.62 / $1,827.65	Facility		$1,639.62	$1,639.62	$1,827.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,393.68 / $2,962.50	Professional		$1,393.68	$1,393.68	$2,962.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.99 / $1,623.99 / $1,948.79	Professional		$1,623.99	$1,623.99	$1,948.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,569.93 / $2,518.00	Professional		$638.07	$1,569.93	$2,518.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,804.49 / $11,977.62 / $12,414.27	Facility		$1,804.49	$11,977.62	$12,414.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.89 / $1,308.89 / $2,870.94	Facility		$226.89	$1,308.89	$2,870.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,176.80 / $1,639.62 / $1,639.62	Professional		$1,176.80	$1,639.62	$1,639.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,623.99 / $1,623.99 / $1,623.99	Professional		$1,623.99	$1,623.99	$1,623.99
United Facility/Professional Professional Modifier Low / Median / High Price $901.03 / $1,123.40 / $1,536.25	Professional		$901.03	$1,123.40	$1,536.25