Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.05 / $2,561.85 / $4,490.32	Professional		$1,796.05	$2,561.85	$4,490.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.79 / $325.52 / $325.52	Facility		$293.79	$325.52	$325.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,255.34 / $4,138.68 / $5,806.60	Professional		$3,255.34	$4,138.68	$5,806.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6,941.90 / $6,941.90 / $6,941.90	Facility		$6,941.90	$6,941.90	$6,941.90
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 $3,282.89 / $3,282.89 / $4,014.68	Facility		$3,282.89	$3,282.89	$4,014.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $3,282.89 / $6,731.25	Professional		$2,790.46	$3,282.89	$6,731.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,869.05 / $4,869.05 / $5,842.86	Professional		$4,869.05	$4,869.05	$5,842.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,205.00 / $4,625.60	Professional		$638.07	$4,205.00	$4,625.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,887.42 / $30,467.00 / $31,577.81	Facility		$4,887.42	$30,467.00	$31,577.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.41 / $3,582.16 / $5,842.86	Facility		$1,862.41	$3,582.16	$5,842.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $3,282.89 / $3,575.00	Professional		$2,790.46	$3,282.89	$3,575.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,869.05 / $4,869.05 / $4,869.05	Professional		$4,869.05	$4,869.05	$4,869.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,262.90 / $2,859.96 / $4,900.06	Professional		$2,262.90	$2,859.96	$4,900.06