Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.00 / $3,127.30 / $5,577.90	Professional		$2,251.00	$3,127.30	$5,577.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.02 / $535.20 / $535.20	Facility		$483.02	$535.20	$535.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,073.68 / $4,969.71 / $8,020.61	Professional		$3,073.68	$4,969.71	$8,020.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $834.68 / $834.68 / $834.68	Facility		$834.68	$834.68	$834.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,423.84 / $4,423.84 / $4,423.84	Professional		$4,423.84	$4,423.84	$4,423.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,340.22 / $4,340.22 / $8,298.75	Professional		$4,340.22	$4,340.22	$8,298.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,046.00 / $5,046.00 / $6,055.20	Professional		$5,046.00	$5,046.00	$6,055.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,712.00 / $4,712.00	Professional		$638.07	$4,712.00	$4,712.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,150.04 / $33,203.46 / $34,413.99	Facility		$4,150.04	$33,203.46	$34,413.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.76 / $3,577.92 / $7,959.47	Facility		$782.76	$3,577.92	$7,959.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,251.00 / $5,106.14 / $5,106.14	Professional		$2,251.00	$5,106.14	$5,106.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,046.00 / $5,046.00 / $5,046.00	Professional		$5,046.00	$5,046.00	$5,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,004.21 / $2,147.52 / $4,265.78	Professional		$2,004.21	$2,147.52	$4,265.78