Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,147.33 / $3,119.53 / $4,393.13	Professional		$2,147.33	$3,119.53	$4,393.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.56 / $399.51 / $399.51	Facility		$360.56	$399.51	$399.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,976.17 / $3,899.07 / $4,970.45	Professional		$2,976.17	$3,899.07	$4,970.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $926.48 / $926.48 / $926.48	Facility		$926.48	$926.48	$926.48
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 $3,657.49 / $3,657.49 / $3,675.31	Facility		$3,657.49	$3,657.49	$3,675.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,108.87 / $3,108.87 / $5,767.50	Professional		$3,108.87	$3,108.87	$5,767.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,332.20 / $4,332.20 / $5,198.64	Professional		$4,332.20	$4,332.20	$5,198.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,409.12 / $4,115.68	Professional		$638.07	$3,409.12	$4,115.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,253.74 / $5,253.74	Facility		$65.00	$5,253.74	$5,253.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,946.00 / $3,316.00 / $4,364.92	Facility		$2,946.00	$3,316.00	$4,364.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,108.87 / $3,657.49 / $3,657.49	Professional		$3,108.87	$3,657.49	$3,657.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,332.20 / $4,332.20 / $4,332.20	Professional		$4,332.20	$4,332.20	$4,332.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.56 / $1,993.92 / $3,318.06	Professional		$1,866.56	$1,993.92	$3,318.06