Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,381.32 / $3,396.69 / $6,030.28	Professional		$2,381.32	$3,396.69	$6,030.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.59 / $431.68 / $431.68	Facility		$389.59	$431.68	$431.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,316.83 / $5,487.35 / $7,774.00	Professional		$4,316.83	$5,487.35	$7,774.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9,204.04 / $9,204.04 / $9,204.04	Facility		$9,204.04	$9,204.04	$9,204.04
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 $3,873.42 / $4,775.22 / $5,323.00	Facility		$3,873.42	$4,775.22	$5,323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,058.94 / $4,775.22 / $9,011.25	Professional		$4,058.94	$4,775.22	$9,011.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,455.70 / $6,455.70 / $7,746.84	Professional		$6,455.70	$6,455.70	$7,746.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,589.00 / $6,132.92	Professional		$638.07	$5,589.00	$6,132.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,480.06 / $41,037.44 / $42,533.64	Facility		$6,480.06	$41,037.44	$42,533.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $5,081.70 / $7,930.87	Facility		$2,469.31	$5,081.70	$7,930.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,807.31 / $4,775.22 / $4,775.22	Professional		$3,807.31	$4,775.22	$4,775.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,455.70 / $6,455.70 / $6,455.70	Professional		$6,455.70	$6,455.70	$6,455.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,036.72 / $3,840.72 / $5,560.62	Professional		$3,036.72	$3,840.72	$5,560.62