Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,642.35 / $4,207.39 / $6,144.92	Professional		$2,642.35	$4,207.39	$6,144.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $350.29 / $350.29	Facility		$316.14	$350.29	$350.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,502.87 / $4,328.39 / $7,481.39	Professional		$3,502.87	$4,328.39	$7,481.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,140.05 / $1,140.05 / $1,140.05	Facility		$1,140.05	$1,140.05	$1,140.05
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 $5,346.20 / $5,587.01 / $5,587.01	Facility		$5,346.20	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,748.96 / $4,748.96 / $9,435.00	Professional		$4,748.96	$4,748.96	$9,435.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,397.08 / $6,397.08 / $7,676.50	Professional		$6,397.08	$6,397.08	$7,676.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,194.97 / $5,064.35	Professional		$638.07	$4,194.97	$5,064.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $6,464.83 / $6,464.83	Facility		$65.00	$6,464.83	$6,464.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.35 / $3,625.04 / $5,765.80	Facility		$767.35	$3,625.04	$5,765.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,748.96 / $5,587.01 / $5,587.01	Professional		$4,748.96	$5,587.01	$5,587.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,397.08 / $6,397.08 / $6,397.08	Professional		$6,397.08	$6,397.08	$6,397.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,307.25 / $2,551.88 / $4,585.63	Professional		$2,307.25	$2,551.88	$4,585.63