Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.63 / $1,374.51 / $2,441.71	Professional		$963.63	$1,374.51	$2,441.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $174.66 / $174.66	Facility		$157.63	$174.66	$174.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.58 / $2,220.52 / $3,145.80	Professional		$1,746.58	$2,220.52	$3,145.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,724.52 / $3,724.52 / $3,724.52	Facility		$3,724.52	$3,724.52	$3,724.52
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 $1,850.09 / $1,850.09 / $2,154.21	Facility		$1,850.09	$1,850.09	$2,154.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.58 / $1,572.58 / $4,560.93	Professional		$1,572.58	$1,572.58	$4,560.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.80 / $1,969.80 / $2,363.76	Professional		$1,969.80	$1,969.80	$2,363.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,300.00 / $2,481.76	Professional		$638.07	$2,300.00	$2,481.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,078.69 / $16,606.15 / $17,211.58	Facility		$3,078.69	$16,606.15	$17,211.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.23 / $2,057.63 / $3,157.57	Facility		$999.23	$2,057.63	$3,157.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $999.23 / $1,572.58 / $1,850.09	Professional		$999.23	$1,572.58	$1,850.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,969.80 / $1,969.80 / $1,969.80	Professional		$1,969.80	$1,969.80	$1,969.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.14 / $1,679.55 / $3,162.34	Professional		$1,555.14	$1,679.55	$3,162.34