Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.67 / $2,909.74 / $4,098.01	Professional		$2,085.67	$2,909.74	$4,098.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.46 / $388.32 / $388.32	Facility		$350.46	$388.32	$388.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,715.41 / $3,786.75 / $4,827.70	Professional		$2,715.41	$3,786.75	$4,827.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $899.87 / $899.87 / $899.87	Facility		$899.87	$899.87	$899.87
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 $3,349.85 / $3,349.85 / $3,428.15	Facility		$3,349.85	$3,349.85	$3,428.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $3,285.00 / $5,261.25	Professional		$2,847.37	$3,285.00	$5,261.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,049.00 / $5,049.00 / $6,058.80	Professional		$5,049.00	$5,049.00	$6,058.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,311.20 / $3,997.13	Professional		$638.07	$3,311.20	$3,997.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,102.45 / $5,102.45	Facility		$65.00	$5,102.45	$5,102.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,861.12 / $3,025.40 / $4,139.93	Facility		$2,861.12	$3,025.40	$4,139.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $3,349.85 / $3,349.85	Professional		$2,847.37	$3,349.85	$3,349.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,049.00 / $5,049.00 / $5,049.00	Professional		$5,049.00	$5,049.00	$5,049.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,655.60 / $1,880.63 / $3,093.00	Professional		$1,655.60	$1,880.63	$3,093.00