Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,639.50 / $2,249.19 / $3,107.26	Professional		$1,639.50	$2,249.19	$3,107.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.77 / $214.70 / $214.70	Facility		$193.77	$214.70	$214.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,077.48 / $2,734.55 / $3,349.32	Professional		$2,077.48	$2,734.55	$3,349.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $707.38 / $707.38 / $707.38	Facility		$707.38	$707.38	$707.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $3,993.75	Professional		$2,203.19	$2,592.00	$3,993.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,969.24 / $3,969.24 / $4,763.09	Professional		$3,969.24	$3,969.24	$4,763.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,602.92 / $3,142.32	Professional		$638.07	$2,602.92	$3,142.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $3,307.70	Facility		$65.00	$100.00	$3,307.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.89 / $2,249.19 / $3,028.48	Facility		$333.89	$2,249.19	$3,028.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $3,373.90	Professional		$2,203.19	$2,592.00	$3,373.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,969.24 / $3,969.24 / $3,969.24	Professional		$3,969.24	$3,969.24	$3,969.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,418.04 / $2,368.19	Professional		$1,277.72	$1,418.04	$2,368.19