Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,144.42 / $5,006.87 / $8,259.65	Professional		$3,144.42	$5,006.87	$8,259.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.66 / $449.48 / $449.48	Facility		$405.66	$449.48	$449.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,440.59 / $5,035.01 / $11,621.75	Professional		$4,440.59	$5,035.01	$11,621.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,356.68 / $1,356.68 / $1,356.68	Facility		$1,356.68	$1,356.68	$1,356.68
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 $6,884.45 / $7,608.68 / $7,608.68	Facility		$6,884.45	$7,608.68	$7,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,467.38 / $6,467.38 / $12,641.25	Professional		$6,467.38	$6,467.38	$12,641.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,612.44 / $7,612.44 / $9,134.93	Professional		$7,612.44	$7,612.44	$9,134.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,992.10 / $6,026.52	Professional		$638.07	$4,992.10	$6,026.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,692.94 / $7,692.94	Facility		$65.00	$7,692.94	$7,692.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.65 / $4,313.68 / $7,833.42	Facility		$983.65	$4,313.68	$7,833.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,734.80 / $7,608.68 / $7,608.68	Professional		$5,734.80	$7,608.68	$7,608.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7,612.44 / $7,612.44 / $7,612.44	Professional		$7,612.44	$7,612.44	$7,612.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,745.67 / $3,357.32 / $4,835.74	Professional		$2,745.67	$3,357.32	$4,835.74