Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.19 / $1,018.07 / $2,111.53	Professional		$773.19	$1,018.07	$2,111.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $156.44 / $156.44	Facility		$141.19	$156.44	$156.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.70 / $2,074.35 / $4,578.33	Professional		$1,411.70	$2,074.35	$4,578.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,335.95 / $3,335.95 / $3,335.95	Facility		$3,335.95	$3,335.95	$3,335.95
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 $1,414.26 / $1,414.26 / $1,937.00	Facility		$1,414.26	$1,414.26	$1,937.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.11 / $1,414.26 / $3,266.25	Professional		$1,202.11	$1,414.26	$3,266.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.30 / $1,764.30 / $2,117.16	Professional		$1,764.30	$1,764.30	$2,117.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,074.35 / $2,879.00	Professional		$638.07	$2,074.35	$2,879.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,983.28 / $12,643.10 / $13,104.06	Facility		$1,983.28	$12,643.10	$13,104.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.39 / $1,749.03 / $2,817.50	Facility		$771.39	$1,749.03	$2,817.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.39 / $1,414.26 / $1,760.73	Professional		$771.39	$1,414.26	$1,760.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,764.30 / $1,764.30 / $1,764.30	Professional		$1,764.30	$1,764.30	$1,764.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $1,393.98 / $2,842.75	Professional		$1,194.83	$1,393.98	$2,842.75