Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.59 / $1,098.02 / $1,958.45	Professional		$800.59	$1,098.02	$1,958.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $145.11 / $145.11	Facility		$130.96	$145.11	$145.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $1,556.97 / $2,613.90	Professional		$269.95	$1,556.97	$2,613.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,094.34 / $3,094.34 / $3,094.34	Facility		$3,094.34	$3,094.34	$3,094.34
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 $1,450.41 / $1,450.41 / $1,789.43	Facility		$1,450.41	$1,450.41	$1,789.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $1,232.84 / $3,787.50	Professional		$1,232.84	$1,232.84	$3,787.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,569.13 / $1,569.13 / $1,882.96	Professional		$1,569.13	$1,569.13	$1,882.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,796.00 / $1,808.38	Professional		$638.07	$1,796.00	$1,808.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $11,728.00 / $12,155.63	Facility		$100.00	$11,728.00	$12,155.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $1,320.30 / $2,811.12	Facility		$261.39	$1,320.30	$2,811.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.20 / $1,232.84 / $1,450.41	Professional		$630.20	$1,232.84	$1,450.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,569.13 / $1,569.13 / $1,569.13	Professional		$1,569.13	$1,569.13	$1,569.13
United Facility/Professional Professional Modifier Low / Median / High Price $869.40 / $1,100.01 / $2,216.39	Professional		$869.40	$1,100.01	$2,216.39