Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.18 / $1,305.54 / $2,328.69	Professional		$915.18	$1,305.54	$2,328.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $165.87 / $165.87	Facility		$149.69	$165.87	$165.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,283.05 / $1,658.76 / $2,988.00	Professional		$1,283.05	$1,658.76	$2,988.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,537.24 / $3,537.24 / $3,537.24	Facility		$3,537.24	$3,537.24	$3,537.24
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 $1,219.64 / $1,219.64 / $2,045.77	Facility		$1,219.64	$1,219.64	$2,045.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,219.64 / $3,465.00	Professional		$1,036.69	$1,219.64	$3,465.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,138.41 / $2,138.41 / $2,566.09	Professional		$2,138.41	$2,138.41	$2,566.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,067.21 / $2,649.00	Professional		$638.07	$2,067.21	$2,649.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,146.48 / $13,407.77 / $13,896.60	Facility		$2,146.48	$13,407.77	$13,896.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $1,454.12 / $3,213.74	Facility		$298.80	$1,454.12	$3,213.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,036.69 / $1,219.64 / $1,800.00	Professional		$1,036.69	$1,219.64	$1,800.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,138.41 / $2,138.41 / $2,138.41	Professional		$2,138.41	$2,138.41	$2,138.41
United Facility/Professional Professional Modifier Low / Median / High Price $954.27 / $1,257.65 / $1,830.73	Professional		$954.27	$1,257.65	$1,830.73