Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,713.40	Professional		$1,663.50	$1,663.50	$1,713.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.82 / $291.20 / $291.20	Facility		$262.82	$291.20	$291.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,912.10 / $3,473.99 / $3,627.23	Professional		$2,912.10	$3,473.99	$3,627.23
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 $3,996.00 / $3,996.00 / $3,996.00	Facility		$3,996.00	$3,996.00	$3,996.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,700.00 / $3,915.00 / $4,893.75	Professional		$3,700.00	$3,915.00	$4,893.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,696.92 / $4,696.92 / $5,636.30	Professional		$4,696.92	$4,696.92	$5,636.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $6,026.51 / $6,026.51	Professional		$638.07	$6,026.51	$6,026.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $3,424.84	Facility		$1,663.50	$1,663.50	$3,424.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,595.57 / $3,700.00 / $3,996.00	Professional		$3,595.57	$3,700.00	$3,996.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,696.92 / $4,696.92 / $4,696.92	Professional		$4,696.92	$4,696.92	$4,696.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.80 / $1,437.26 / $3,319.43	Professional		$1,330.80	$1,437.26	$3,319.43