Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,577.29 / $3,641.83 / $5,200.63	Professional		$2,577.29	$3,641.83	$5,200.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.75 / $479.50 / $479.50	Facility		$432.75	$479.50	$479.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,497.21 / $4,679.60 / $5,965.71	Professional		$3,497.21	$4,679.60	$5,965.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,111.97 / $1,111.97 / $1,111.97	Facility		$1,111.97	$1,111.97	$1,111.97
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 $4,303.28 / $4,303.28 / $4,350.72	Facility		$4,303.28	$4,303.28	$4,350.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,657.79 / $4,000.00 / $6,776.25	Professional		$3,657.79	$4,000.00	$6,776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,239.52 / $6,239.52 / $7,487.42	Professional		$6,239.52	$6,239.52	$7,487.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,091.67 / $4,939.62	Professional		$638.07	$4,091.67	$4,939.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $6,305.50 / $6,305.50	Facility		$65.00	$6,305.50	$6,305.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,535.76 / $3,896.54 / $5,196.38	Facility		$3,535.76	$3,896.54	$5,196.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,657.79 / $4,303.28 / $4,303.28	Professional		$3,657.79	$4,303.28	$4,303.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,239.52 / $6,239.52 / $6,239.52	Professional		$6,239.52	$6,239.52	$6,239.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.30 / $2,386.50 / $3,816.15	Professional		$2,068.30	$2,386.50	$3,816.15