Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,619.30 / $4,170.71 / $7,439.15	Professional		$2,619.30	$4,170.71	$7,439.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.24 / $627.41 / $627.41	Facility		$566.24	$627.41	$627.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,699.08 / $5,284.40 / $11,508.79	Professional		$3,699.08	$5,284.40	$11,508.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,130.09 / $1,130.09 / $1,130.09	Facility		$1,130.09	$1,130.09	$1,130.09
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 $3,969.00 / $3,969.00 / $3,969.00	Facility		$3,969.00	$3,969.00	$3,969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,373.65 / $3,373.65 / $13,832.81	Professional		$3,373.65	$3,373.65	$13,832.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,284.40 / $5,284.40 / $6,341.28	Professional		$5,284.40	$5,284.40	$6,341.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,402.97 / $5,020.18	Professional		$638.07	$4,402.97	$5,020.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $6,408.42 / $6,408.42	Facility		$80.00	$6,408.42	$6,408.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,593.36 / $5,600.26 / $6,686.88	Facility		$3,593.36	$5,600.26	$6,686.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,373.65 / $3,791.95 / $3,969.00	Professional		$3,373.65	$3,791.95	$3,969.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,284.40 / $5,284.40 / $5,284.40	Professional		$5,284.40	$5,284.40	$5,284.40
United Facility/Professional Facility Modifier Low / Median / High Price $202.13 / $635.21 / $3,566.08	Facility		$202.13	$635.21	$3,566.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,422.88 / $2,698.60 / $5,643.70	Professional		$2,422.88	$2,698.60	$5,643.70