Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.17 / $2,236.07 / $3,128.35	Professional		$1,669.17	$2,236.07	$3,128.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.95 / $218.23 / $218.23	Facility		$196.95	$218.23	$218.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,182.32 / $2,783.85 / $3,404.42	Professional		$2,182.32	$2,783.85	$3,404.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $720.17 / $720.17 / $720.17	Facility		$720.17	$720.17	$720.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,254.90	Facility		$2,254.90	$2,254.90	$2,254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,254.90 / $3,993.75	Professional		$1,916.67	$2,254.90	$3,993.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,040.88 / $4,040.88 / $4,849.06	Professional		$4,040.88	$4,040.88	$4,849.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,805.84 / $3,199.03	Professional		$638.07	$2,805.84	$3,199.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,083.65 / $4,083.65	Facility		$65.00	$4,083.65	$4,083.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.27 / $2,289.84 / $2,896.06	Facility		$332.27	$2,289.84	$2,896.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $2,254.90 / $3,230.73	Professional		$1,916.67	$2,254.90	$3,230.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,040.88 / $4,040.88 / $4,040.88	Professional		$4,040.88	$4,040.88	$4,040.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.80 / $1,423.44 / $2,469.08	Professional		$1,285.80	$1,423.44	$2,469.08