Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,424.22 / $5,452.32 / $8,677.41	Professional		$3,424.22	$5,452.32	$8,677.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.67 / $477.20 / $477.20	Facility		$430.67	$477.20	$477.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,726.58 / $6,217.38 / $10,623.48	Professional		$4,726.58	$6,217.38	$10,623.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,477.38 / $1,477.38 / $1,477.38	Facility		$1,477.38	$1,477.38	$1,477.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,034.92 / $7,860.06 / $7,860.06	Facility		$7,034.92	$7,860.06	$7,860.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,681.05 / $6,681.05 / $13,008.75	Professional		$6,681.05	$6,681.05	$13,008.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,289.84 / $8,289.84 / $9,947.81	Professional		$8,289.84	$8,289.84	$9,947.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,436.26 / $6,562.79	Professional		$638.07	$5,436.26	$6,562.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $8,377.54 / $8,377.54	Facility		$65.00	$8,377.54	$8,377.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $4,697.60 / $8,231.48	Facility		$1,041.00	$4,697.60	$8,231.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,026.40 / $7,860.06 / $7,860.06	Professional		$6,026.40	$7,860.06	$7,860.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8,289.84 / $8,289.84 / $8,289.84	Professional		$8,289.84	$8,289.84	$8,289.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,261.76 / $3,564.08 / $5,118.30	Professional		$3,261.76	$3,564.08	$5,118.30