Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.83 / $2,310.61 / $4,076.38	Professional		$1,619.83	$2,310.61	$4,076.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.95 / $293.58 / $293.58	Facility		$264.95	$293.58	$293.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,935.94 / $3,732.70 / $5,281.90	Professional		$2,935.94	$3,732.70	$5,281.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6,260.78 / $6,260.78 / $6,260.78	Facility		$6,260.78	$6,260.78	$6,260.78
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 $2,634.78 / $3,248.38 / $3,620.82	Facility		$2,634.78	$3,248.38	$3,620.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,761.12 / $3,248.38 / $6,123.75	Professional		$2,761.12	$3,248.38	$6,123.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,391.30 / $4,391.30 / $5,269.56	Professional		$4,391.30	$4,391.30	$5,269.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,814.00 / $4,171.74	Professional		$638.07	$3,814.00	$4,171.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,407.87 / $27,719.97 / $28,730.61	Facility		$4,407.87	$27,719.97	$28,730.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,679.67 / $3,435.15 / $5,357.18	Facility		$1,679.67	$3,435.15	$5,357.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.51 / $3,248.38 / $3,248.38	Professional		$2,630.51	$3,248.38	$3,248.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,391.30 / $4,391.30 / $4,391.30	Professional		$4,391.30	$4,391.30	$4,391.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.19 / $2,596.26 / $3,550.39	Professional		$2,051.19	$2,596.26	$3,550.39