Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.61 / $1,983.58 / $3,537.93	Professional		$1,390.61	$1,983.58	$3,537.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.54 / $289.80 / $289.80	Facility		$261.54	$289.80	$289.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.50 / $2,691.00 / $4,539.70	Professional		$1,949.50	$2,691.00	$4,539.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $511.99 / $511.99 / $511.99	Facility		$511.99	$511.99	$511.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,974.96 / $1,974.96 / $1,974.96	Professional		$1,974.96	$1,974.96	$1,974.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,216.94 / $2,225.05 / $2,225.05	Facility		$2,216.94	$2,225.05	$2,225.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $2,225.05 / $5,261.25	Professional		$1,891.29	$2,225.05	$5,261.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,095.10 / $3,095.10 / $3,714.12	Professional		$3,095.10	$3,095.10	$3,714.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,524.00 / $3,524.00	Professional		$638.07	$3,524.00	$3,524.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,153.79 / $20,369.16 / $21,111.80	Facility		$5,153.79	$20,369.16	$21,111.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.48 / $2,225.05 / $5,048.50	Facility		$432.48	$2,225.05	$5,048.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $2,225.05 / $2,225.05	Professional		$1,891.29	$2,225.05	$2,225.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,095.10 / $3,095.10 / $3,095.10	Professional		$3,095.10	$3,095.10	$3,095.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.64 / $1,433.05 / $2,436.90	Professional		$1,186.64	$1,433.05	$2,436.90