Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.27 / $1,352.62 / $2,412.52	Professional		$948.27	$1,352.62	$2,412.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.11 / $171.87 / $171.87	Facility		$155.11	$171.87	$171.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.40 / $1,718.74 / $3,095.70	Professional		$1,329.40	$1,718.74	$3,095.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,665.15 / $3,665.15 / $3,665.15	Facility		$3,665.15	$3,665.15	$3,665.15
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 $1,406.76 / $1,406.76 / $2,119.73	Facility		$1,406.76	$1,406.76	$2,119.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,406.76 / $3,588.75	Professional		$1,195.75	$1,406.76	$3,588.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.73 / $2,215.73 / $2,658.88	Professional		$2,215.73	$2,215.73	$2,658.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,141.96 / $2,715.00	Professional		$638.07	$2,141.96	$2,715.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,224.09 / $13,890.95 / $14,397.39	Facility		$2,224.09	$13,890.95	$14,397.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.57 / $1,506.70 / $3,329.57	Facility		$309.57	$1,506.70	$3,329.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.75 / $1,406.76 / $1,775.00	Professional		$1,195.75	$1,406.76	$1,775.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,215.73 / $2,215.73 / $2,215.73	Professional		$2,215.73	$2,215.73	$2,215.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,302.91 / $1,781.72	Professional		$1,044.96	$1,302.91	$1,781.72