Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.51 / $2,457.66 / $3,359.31	Professional		$1,994.51	$2,457.66	$3,359.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.55 / $179.00 / $179.00	Facility		$161.55	$179.00	$179.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,793.95 / $3,710.72	Professional		$1,800.00	$2,793.95	$3,710.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $860.54 / $860.54 / $860.54	Facility		$860.54	$860.54	$860.54
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 $2,290.69 / $2,290.69 / $2,829.68	Facility		$2,290.69	$2,290.69	$2,829.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,993.75	Professional		$1,947.10	$2,290.69	$3,993.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,828.43 / $4,828.43 / $5,794.13	Professional		$4,828.43	$4,828.43	$5,794.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,073.35 / $3,822.51	Professional		$638.07	$3,073.35	$3,822.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $4,879.47 / $4,879.47	Facility		$80.00	$4,879.47	$4,879.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.88 / $2,736.08 / $3,421.26	Facility		$335.88	$2,736.08	$3,421.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,236.31	Professional		$1,947.10	$2,290.69	$3,236.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,828.43 / $4,828.43 / $4,828.43	Professional		$4,828.43	$4,828.43	$4,828.43
United Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $277.02 / $2,566.53	Facility		$153.90	$277.02	$2,566.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $1,500.77 / $2,961.38	Professional		$1,385.32	$1,500.77	$2,961.38