Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.74 / $1,885.64 / $2,673.12	Professional		$1,195.74	$1,885.64	$2,673.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $180.00 / $180.00	Facility		$162.44	$180.00	$180.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,786.70 / $2,171.19 / $2,965.12	Professional		$1,786.70	$2,171.19	$2,965.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $515.90 / $515.90 / $515.90	Facility		$515.90	$515.90	$515.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $3,768.75	Professional		$1,891.33	$2,225.09	$3,768.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,894.88 / $2,894.88 / $3,473.86	Professional		$2,894.88	$2,894.88	$3,473.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,010.00 / $2,291.78	Professional		$638.07	$2,010.00	$2,291.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $16,659.23 / $17,266.63	Facility		$100.00	$16,659.23	$17,266.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.63 / $1,756.08 / $4,076.93	Facility		$308.63	$1,756.08	$4,076.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,891.33 / $2,225.09 / $2,430.00	Professional		$1,891.33	$2,225.09	$2,430.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,894.88 / $2,894.88 / $2,894.88	Professional		$2,894.88	$2,894.88	$2,894.88
United Facility/Professional Professional Modifier Low / Median / High Price $949.17 / $1,111.16 / $1,671.23	Professional		$949.17	$1,111.16	$1,671.23