Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.67 / $2,115.78 / $2,984.17	Professional		$1,530.67	$2,115.78	$2,984.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.77 / $187.00 / $187.00	Facility		$168.77	$187.00	$187.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,593.30 / $2,943.64	Professional		$1,870.00	$2,593.30	$2,943.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $660.41 / $660.41 / $660.41	Facility		$660.41	$660.41	$660.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,053.86 / $2,070.00 / $3,982.50	Professional		$2,053.86	$2,070.00	$3,982.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.36 / $3,705.36 / $4,446.43	Professional		$3,705.36	$3,705.36	$4,446.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,573.04 / $2,933.41	Professional		$638.07	$2,573.04	$2,933.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,744.63 / $3,744.63	Facility		$65.00	$3,744.63	$3,744.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.26 / $2,099.67 / $2,851.89	Facility		$318.26	$2,099.67	$2,851.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,053.86 / $2,416.31 / $2,416.31	Professional		$2,053.86	$2,416.31	$2,416.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,705.36 / $3,705.36 / $3,705.36	Professional		$3,705.36	$3,705.36	$3,705.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.59 / $1,330.99 / $2,207.46	Professional		$1,228.59	$1,330.99	$2,207.46