Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.19 / $1,955.88 / $2,796.91	Professional		$1,277.19	$1,955.88	$2,796.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.57 / $190.10 / $190.10	Facility		$171.57	$190.10	$190.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,893.62 / $2,318.90 / $3,001.95	Professional		$1,893.62	$2,318.90	$3,001.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $551.05 / $551.05 / $551.05	Facility		$551.05	$551.05	$551.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,304.34 / $2,387.48 / $2,387.48	Facility		$2,304.34	$2,387.48	$2,387.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.37 / $2,250.00 / $3,993.75	Professional		$2,029.37	$2,250.00	$3,993.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,091.92 / $3,091.92 / $3,710.30	Professional		$3,091.92	$3,091.92	$3,710.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,027.70 / $2,447.77	Professional		$638.07	$2,027.70	$2,447.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $2,576.60	Facility		$65.00	$100.00	$2,576.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.56 / $1,752.08 / $2,620.80	Facility		$317.56	$1,752.08	$2,620.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,029.37 / $2,387.48 / $2,387.48	Professional		$2,029.37	$2,387.48	$2,387.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,091.92 / $3,091.92 / $3,091.92	Professional		$3,091.92	$3,091.92	$3,091.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.25 / $1,142.72 / $1,882.20	Professional		$1,115.25	$1,142.72	$1,882.20