Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.48 / $929.28 / $1,657.45	Professional		$651.48	$929.28	$1,657.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $118.08 / $118.08	Facility		$106.57	$118.08	$118.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,180.80 / $1,501.21 / $2,126.80	Professional		$1,180.80	$1,501.21	$2,126.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,518.01 / $2,518.01 / $2,518.01	Facility		$2,518.01	$2,518.01	$2,518.01
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 $1,038.19 / $1,361.88 / $2,075.01	Facility		$1,038.19	$1,361.88	$2,075.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.64 / $1,743.98 / $2,463.75	Professional		$1,218.64	$1,743.98	$2,463.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.13 / $1,766.13 / $2,119.36	Professional		$1,766.13	$1,766.13	$2,119.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,572.00 / $1,677.82	Professional		$638.07	$1,572.00	$1,677.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.79 / $11,227.13 / $11,636.46	Facility		$1,772.79	$11,227.13	$11,636.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $1,453.90 / $2,169.60	Facility		$675.54	$1,453.90	$2,169.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $1,361.80 / $1,743.98	Professional		$180.78	$1,361.80	$1,743.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,766.13 / $1,766.13 / $1,766.13	Professional		$1,766.13	$1,766.13	$1,766.13
United Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,057.80 / $1,527.54	Professional		$830.80	$1,057.80	$1,527.54