Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,630.27	Professional		$1,288.25	$1,819.70	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $7,244.36	Professional		$1,174.90	$1,905.46	$7,244.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $588.84	Facility		$549.54	$549.54	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,981.07	Professional		$2,041.74	$2,041.74	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,715.35	Professional		$3,090.30	$3,090.30	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $2,454.71	Professional		$630.96	$831.76	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,570.40 / $2,570.40	Facility		$100.00	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,737.80 / $2,630.27	Facility		$323.59	$1,737.80	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Professional		$2,041.74	$2,041.74	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $223.87 / $1,778.28	Facility		$33.11	$223.87	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,344.23	Professional		$954.99	$1,230.27	$2,344.23