Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,162.28	Professional		$1,737.80	$2,137.96	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $9,549.93	Professional		$1,584.89	$2,884.03	$9,549.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $758.58	Facility		$645.65	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $4,466.84	Professional		$2,290.87	$2,570.40	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,011.87	Professional		$4,265.80	$4,265.80	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $3,311.31	Professional		$630.96	$831.76	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,265.80 / $4,265.80	Facility		$100.00	$4,265.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,398.83 / $3,019.95	Facility		$354.81	$2,398.83	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $281.84 / $2,238.72	Facility		$41.69	$281.84	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,691.53	Professional		$1,258.93	$1,513.56	$2,691.53