Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $4,786.30	Professional		$1,949.84	$3,311.31	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $14,791.08	Professional		$2,398.83	$4,677.35	$14,791.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $7,585.78	Facility		$1,202.26	$1,202.26	$7,585.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,365.16	Facility		$3,467.37	$3,467.37	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $7,413.10	Professional		$2,951.21	$3,467.37	$7,413.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,309.57	Professional		$5,248.07	$5,248.07	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $5,011.87	Professional		$630.96	$831.76	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $34,673.69 / $34,673.69	Facility		$5,248.07	$34,673.69	$34,673.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $6,606.93	Facility		$1,995.26	$4,168.69	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $3,467.37	Professional		$1,995.26	$2,951.21	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,862.09 / $4,168.69	Facility		$199.53	$1,862.09	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $5,495.41	Professional		$2,344.23	$3,090.30	$5,495.41