Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,140.63 / $3,095.46 / $4,359.31	Professional		$2,140.63	$3,095.46	$4,359.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.43 / $398.26 / $398.26	Facility		$359.43	$398.26	$398.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,945.98 / $3,886.70 / $4,955.03	Professional		$2,945.98	$3,886.70	$4,955.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $923.58 / $923.58 / $923.58	Facility		$923.58	$923.58	$923.58
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 $3,621.85 / $3,621.85 / $3,646.95	Facility		$3,621.85	$3,621.85	$3,646.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,078.57 / $3,500.00 / $5,707.50	Professional		$3,078.57	$3,500.00	$5,707.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,182.32 / $5,182.32 / $6,218.78	Professional		$5,182.32	$5,182.32	$6,218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,398.47 / $4,102.67	Professional		$638.07	$3,398.47	$4,102.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,237.12 / $5,237.12	Facility		$65.00	$5,237.12	$5,237.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,936.64 / $3,282.33 / $4,339.43	Facility		$2,936.64	$3,282.33	$4,339.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,078.57 / $3,621.85 / $3,621.85	Professional		$3,078.57	$3,621.85	$3,621.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,182.32 / $5,182.32 / $5,182.32	Professional		$5,182.32	$5,182.32	$5,182.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,729.97 / $1,852.20 / $3,413.63	Professional		$1,729.97	$1,852.20	$3,413.63