Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.09 / $2,600.51 / $3,942.61	Professional		$1,823.09	$2,600.51	$3,942.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.86 / $379.90 / $379.90	Facility		$342.86	$379.90	$379.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,399.19 / $3,799.00 / $5,951.90	Professional		$2,399.19	$3,799.00	$5,951.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $704.64 / $704.64 / $704.64	Facility		$704.64	$704.64	$704.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,162.08 / $3,162.08 / $3,162.08	Professional		$3,162.08	$3,162.08	$3,162.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,906.63 / $3,655.97 / $3,655.97	Facility		$2,906.63	$3,655.97	$3,655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,107.57 / $3,107.57 / $5,865.00	Professional		$3,107.57	$3,107.57	$5,865.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,259.89 / $4,259.89 / $5,111.88	Professional		$4,259.89	$4,259.89	$5,111.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $7,326.00 / $7,326.00	Professional		$638.07	$7,326.00	$7,326.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,689.32 / $26,705.78 / $27,679.44	Facility		$2,689.32	$26,705.78	$27,679.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.19 / $2,906.63 / $6,618.86	Facility		$595.19	$2,906.63	$6,618.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,661.35 / $3,655.97 / $3,655.97	Professional		$1,661.35	$3,655.97	$3,655.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,259.89 / $4,259.89 / $4,259.89	Professional		$4,259.89	$4,259.89	$4,259.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.72 / $1,878.68 / $3,785.31	Professional		$1,555.72	$1,878.68	$3,785.31