Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,168.69	Professional		$2,137.96	$3,090.30	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $12,022.64	Professional		$1,949.84	$2,951.21	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $5,754.40	Professional		$3,090.30	$3,090.30	$5,754.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Professional		$5,128.61	$5,128.61	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $4,073.80	Professional		$630.96	$831.76	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,248.07 / $5,248.07	Facility		$100.00	$5,248.07	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $3,981.07	Facility		$2,951.21	$3,388.44	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Professional		$3,090.30	$3,090.30	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $354.81 / $2,754.23	Facility		$52.48	$354.81	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,715.35	Professional		$1,513.56	$1,995.26	$3,715.35