Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,742.83 / $2,372.03 / $3,351.12	Professional		$1,742.83	$2,372.03	$3,351.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.64 / $227.86 / $227.86	Facility		$205.64	$227.86	$227.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.19 / $2,906.96 / $3,554.68	Professional		$2,241.19	$2,906.96	$3,554.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $751.95 / $751.95 / $751.95	Facility		$751.95	$751.95	$751.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $4,515.00	Professional		$2,270.91	$2,671.66	$4,515.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,219.56 / $4,219.56 / $5,063.47	Professional		$4,219.56	$4,219.56	$5,063.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,929.62 / $3,340.49	Professional		$638.07	$2,929.62	$3,340.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,264.28 / $4,264.28	Facility		$65.00	$4,264.28	$4,264.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.56 / $2,391.12 / $3,187.20	Facility		$343.56	$2,391.12	$3,187.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,270.91 / $2,671.66 / $2,671.66	Professional		$2,270.91	$2,671.66	$2,671.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,219.56 / $4,219.56 / $4,219.56	Professional		$4,219.56	$4,219.56	$4,219.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.32 / $1,474.77 / $2,586.83	Professional		$1,361.32	$1,474.77	$2,586.83