Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,495.11 / $2,132.57 / $3,785.81	Professional		$1,495.11	$2,132.57	$3,785.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.57 / $270.99 / $270.99	Facility		$244.57	$270.99	$270.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,709.90 / $3,445.23 / $4,621.89	Professional		$2,709.90	$3,445.23	$4,621.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5,778.76 / $5,778.76 / $5,778.76	Facility		$5,778.76	$5,778.76	$5,778.76
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 $2,200.00 / $2,200.00 / $3,342.04	Facility		$2,200.00	$2,200.00	$3,342.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $5,231.25	Professional		$1,870.00	$2,200.00	$5,231.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,053.21 / $4,053.21 / $4,863.85	Professional		$4,053.21	$4,053.21	$4,863.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,850.55 / $4,644.00	Professional		$638.07	$3,850.55	$4,644.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,128.54 / $24,693.27 / $25,593.57	Facility		$4,128.54	$24,693.27	$25,593.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $2,994.38 / $4,808.91	Facility		$1,550.35	$2,994.38	$4,808.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $3,800.00	Professional		$1,870.00	$2,200.00	$3,800.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,053.21 / $4,053.21 / $4,053.21	Professional		$4,053.21	$4,053.21	$4,053.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,886.15 / $2,263.38 / $4,023.46	Professional		$1,886.15	$2,263.38	$4,023.46