Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,197.52 / $3,095.52 / $4,371.41	Professional		$2,197.52	$3,095.52	$4,371.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.27 / $256.26 / $256.26	Facility		$231.27	$256.26	$256.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,462.60 / $3,806.60 / $4,280.14	Professional		$2,462.60	$3,806.60	$4,280.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $948.12 / $948.12 / $948.12	Facility		$948.12	$948.12	$948.12
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 $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $2,673.00 / $5,756.25	Professional		$2,272.05	$2,673.00	$5,756.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,433.20 / $4,433.20 / $5,319.84	Professional		$4,433.20	$4,433.20	$5,319.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,488.74 / $4,211.54	Professional		$638.07	$3,488.74	$4,211.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $5,376.08 / $5,376.08	Facility		$80.00	$5,376.08	$5,376.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.78 / $3,014.56 / $4,127.35	Facility		$497.78	$3,014.56	$4,127.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $2,673.00 / $3,470.68	Professional		$2,272.05	$2,673.00	$3,470.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,433.20 / $4,433.20 / $4,433.20	Professional		$4,433.20	$4,433.20	$4,433.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.24 / $1,918.80 / $3,324.90	Professional		$1,783.24	$1,918.80	$3,324.90