Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,916.38 / $2,969.56 / $5,296.57	Professional		$1,916.38	$2,969.56	$5,296.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.53 / $377.32 / $377.32	Facility		$340.53	$377.32	$377.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,773.18 / $4,336.99 / $6,796.50	Professional		$3,773.18	$4,336.99	$6,796.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8,046.19 / $8,046.19 / $8,046.19	Facility		$8,046.19	$8,046.19	$8,046.19
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 $2,900.00 / $2,900.00 / $4,653.68	Facility		$2,900.00	$2,900.00	$4,653.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,465.00 / $2,900.00 / $7,878.75	Professional		$2,465.00	$2,900.00	$7,878.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,864.24 / $4,864.24 / $5,837.09	Professional		$4,864.24	$4,864.24	$5,837.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,702.32 / $6,645.00	Professional		$638.07	$4,702.32	$6,645.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,882.60 / $30,495.32 / $31,607.17	Facility		$4,882.60	$30,495.32	$31,607.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.65 / $3,397.44 / $7,309.52	Facility		$679.65	$3,397.44	$7,309.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,465.00 / $2,900.00 / $4,600.00	Professional		$2,465.00	$2,900.00	$4,600.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,864.24 / $4,864.24 / $4,864.24	Professional		$4,864.24	$4,864.24	$4,864.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,294.04 / $2,860.46 / $5,763.48	Professional		$2,294.04	$2,860.46	$5,763.48