Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.54 / $1,012.70 / $2,100.40	Professional		$739.54	$1,012.70	$2,100.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $149.63 / $149.63	Facility		$135.04	$149.63	$149.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.36 / $1,496.28 / $2,695.20	Professional		$1,157.36	$1,496.28	$2,695.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,190.77 / $3,190.77 / $3,190.77	Facility		$3,190.77	$3,190.77	$3,190.77
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 $1,208.78 / $1,208.78 / $1,845.52	Facility		$1,208.78	$1,208.78	$1,845.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $3,123.75	Professional		$1,027.46	$1,208.78	$3,123.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.95 / $1,928.95 / $2,314.73	Professional		$1,928.95	$1,928.95	$2,314.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,864.74 / $2,301.00	Professional		$638.07	$1,864.74	$2,301.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,936.23 / $12,092.66 / $12,533.54	Facility		$1,936.23	$12,092.66	$12,533.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $1,311.69 / $2,898.52	Facility		$269.52	$1,311.69	$2,898.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $1,750.00	Professional		$1,027.46	$1,208.78	$1,750.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,928.95 / $1,928.95 / $1,928.95	Professional		$1,928.95	$1,928.95	$1,928.95
United Facility/Professional Professional Modifier Low / Median / High Price $909.68 / $1,134.22 / $1,651.06	Professional		$909.68	$1,134.22	$1,651.06