Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $9,772.37	Professional		$1,819.70	$2,238.72	$9,772.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Facility		$645.65	$645.65	$851.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,019.95	Facility		$2,454.71	$2,454.71	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $4,365.16	Professional		$2,089.30	$2,454.71	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,786.30	Professional		$3,981.07	$3,981.07	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $3,801.89	Professional		$630.96	$831.76	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,897.79 / $4,897.79	Facility		$100.00	$4,897.79	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,691.53 / $3,311.31	Facility		$354.81	$2,691.53	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $3,235.94	Professional		$2,089.30	$2,238.72	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $263.03 / $2,454.71	Facility		$45.71	$263.03	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $3,019.95	Professional		$1,412.54	$1,737.80	$3,019.95