Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.18 / $1,444.41 / $2,576.28	Professional		$932.18	$1,444.41	$2,576.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.64 / $183.54 / $183.54	Facility		$165.64	$183.54	$183.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.65 / $1,835.37 / $3,305.80	Professional		$1,419.65	$1,835.37	$3,305.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,913.88 / $3,913.88 / $3,913.88	Facility		$3,913.88	$3,913.88	$3,913.88
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 $1,440.00 / $1,440.00 / $2,263.48	Facility		$1,440.00	$1,440.00	$2,263.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $3,832.50	Professional		$1,224.00	$1,440.00	$3,832.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.09 / $2,366.09 / $2,839.31	Professional		$2,366.09	$2,366.09	$2,839.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,287.33 / $2,924.00	Professional		$638.07	$2,287.33	$2,924.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,721.00 / $14,832.59 / $15,373.38	Facility		$2,721.00	$14,832.59	$15,373.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $1,652.52 / $3,555.28	Facility		$330.58	$1,652.52	$3,555.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $2,037.00	Professional		$1,224.00	$1,440.00	$2,037.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,366.09 / $2,366.09 / $2,366.09	Professional		$2,366.09	$2,366.09	$2,366.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.80 / $1,391.26 / $1,904.63	Professional		$1,115.80	$1,391.26	$1,904.63