Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,827.87 / $2,607.28 / $4,614.38	Professional		$1,827.87	$2,607.28	$4,614.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $331.30 / $331.30	Facility		$299.00	$331.30	$331.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,313.02 / $4,212.02 / $5,967.30	Professional		$3,313.02	$4,212.02	$5,967.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7,064.90 / $7,064.90 / $7,064.90	Facility		$7,064.90	$7,064.90	$7,064.90
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 $1,642.21 / $1,642.21 / $4,086.14	Facility		$1,642.21	$1,642.21	$4,086.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $1,642.21 / $6,918.75	Professional		$1,395.88	$1,642.21	$6,918.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,955.32 / $4,955.32 / $5,946.38	Professional		$4,955.32	$4,955.32	$5,946.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,303.00 / $4,707.55	Professional		$638.07	$4,303.00	$4,707.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,974.02 / $31,412.20 / $32,557.45	Facility		$4,974.02	$31,412.20	$32,557.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $3,691.95 / $5,972.34	Facility		$1,895.41	$3,691.95	$5,972.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $1,642.21 / $2,114.60	Professional		$1,395.88	$1,642.21	$2,114.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,955.32 / $4,955.32 / $4,955.32	Professional		$4,955.32	$4,955.32	$4,955.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,324.44 / $2,938.92 / $5,035.35	Professional		$2,324.44	$2,938.92	$5,035.35