Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.78 / $1,133.99 / $2,022.61	Professional		$731.78	$1,133.99	$2,022.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $144.16 / $144.16	Facility		$130.10	$144.16	$144.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.46 / $1,441.59 / $2,595.30	Professional		$1,114.46	$1,441.59	$2,595.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,072.47 / $3,072.47 / $3,072.47	Facility		$3,072.47	$3,072.47	$3,072.47
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 $1,114.46 / $1,436.52 / $1,776.96	Facility		$1,114.46	$1,436.52	$1,776.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.04 / $1,221.04 / $3,759.38	Professional		$1,221.04	$1,221.04	$3,759.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,857.43 / $1,857.43 / $2,228.92	Professional		$1,857.43	$1,857.43	$2,228.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,795.60 / $2,282.00	Professional		$638.07	$1,795.60	$2,282.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,864.44 / $11,644.83 / $12,069.37	Facility		$1,864.44	$11,644.83	$12,069.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $1,358.96 / $2,791.19	Facility		$259.52	$1,358.96	$2,791.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.47 / $1,221.04 / $1,436.52	Professional		$710.47	$1,221.04	$1,436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,857.43 / $1,857.43 / $1,857.43	Professional		$1,857.43	$1,857.43	$1,857.43
United Facility/Professional Professional Modifier Low / Median / High Price $875.99 / $1,092.43 / $1,493.90	Professional		$875.99	$1,092.43	$1,493.90