Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.35 / $3,508.30 / $4,940.66	Professional		$2,400.35	$3,508.30	$4,940.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.04 / $446.58 / $446.58	Facility		$403.04	$446.58	$446.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,357.90 / $4,358.39 / $5,556.13	Professional		$3,357.90	$4,358.39	$5,556.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,035.63 / $1,035.63 / $1,035.63	Facility		$1,035.63	$1,035.63	$1,035.63
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 $4,124.25 / $4,124.25 / $4,133.35	Facility		$4,124.25	$4,124.25	$4,133.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,505.61 / $3,960.00 / $6,506.25	Professional		$3,505.61	$3,960.00	$6,506.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,811.24 / $5,811.24 / $6,973.49	Professional		$5,811.24	$5,811.24	$6,973.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,810.78 / $4,600.56	Professional		$638.07	$3,810.78	$4,600.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,872.68 / $5,872.68	Facility		$65.00	$5,872.68	$5,872.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,293.04 / $3,741.27 / $4,896.85	Facility		$3,293.04	$3,741.27	$4,896.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,505.61 / $4,124.25 / $4,124.25	Professional		$3,505.61	$4,124.25	$4,124.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,811.24 / $5,811.24 / $5,811.24	Professional		$5,811.24	$5,811.24	$5,811.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,964.81 / $2,236.76 / $3,596.56	Professional		$1,964.81	$2,236.76	$3,596.56