Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.35 / $3,387.84 / $4,708.37	Professional		$2,400.35	$3,387.84	$4,708.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.62 / $277.70 / $277.70	Facility		$250.62	$277.70	$277.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,777.00 / $4,354.10 / $4,689.71	Professional		$2,777.00	$4,354.10	$4,689.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,035.63 / $1,035.63 / $1,035.63	Facility		$1,035.63	$1,035.63	$1,035.63
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 $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,187.00 / $6,363.75	Professional		$1,858.95	$2,187.00	$6,363.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,811.24 / $5,811.24 / $6,973.49	Professional		$5,811.24	$5,811.24	$6,973.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,810.78 / $4,600.56	Professional		$638.07	$3,810.78	$4,600.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $5,872.68 / $5,872.68	Facility		$80.00	$5,872.68	$5,872.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.36 / $3,293.04 / $4,525.50	Facility		$534.36	$3,293.04	$4,525.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $2,187.00 / $4,046.01	Professional		$1,858.95	$2,187.00	$4,046.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,811.24 / $5,811.24 / $5,811.24	Professional		$5,811.24	$5,811.24	$5,811.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.88 / $2,027.52 / $3,569.25	Professional		$1,866.88	$2,027.52	$3,569.25