Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.31 / $1,800.54 / $3,196.17	Professional		$1,262.31	$1,800.54	$3,196.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.48 / $228.79 / $228.79	Facility		$206.48	$228.79	$228.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,287.94 / $2,908.78 / $4,120.89	Professional		$2,287.94	$2,908.78	$4,120.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,878.93 / $4,878.93 / $4,878.93	Facility		$4,878.93	$4,878.93	$4,878.93
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 $2,399.94 / $2,399.94 / $2,821.87	Facility		$2,399.94	$2,399.94	$2,821.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.95 / $2,399.94 / $4,777.50	Professional		$2,039.95	$2,399.94	$4,777.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,422.09 / $3,422.09 / $4,106.51	Professional		$3,422.09	$3,422.09	$4,106.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,997.00 / $3,250.99	Professional		$638.07	$2,997.00	$3,250.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,435.00 / $21,753.30 / $22,546.40	Facility		$3,435.00	$21,753.30	$22,546.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.95 / $2,557.19 / $4,136.22	Facility		$1,308.95	$2,557.19	$4,136.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,039.95 / $2,399.94 / $2,497.75	Professional		$2,039.95	$2,399.94	$2,497.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,422.09 / $3,422.09 / $3,422.09	Professional		$3,422.09	$3,422.09	$3,422.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,562.20 / $2,035.62 / $3,487.70	Professional		$1,562.20	$2,035.62	$3,487.70