Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,518.38 / $4,009.94 / $7,152.22	Professional		$2,518.38	$4,009.94	$7,152.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.41 / $603.24 / $603.24	Facility		$544.41	$603.24	$603.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,556.49 / $5,080.70 / $11,064.80	Professional		$3,556.49	$5,080.70	$11,064.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,086.56 / $1,086.56 / $1,086.56	Facility		$1,086.56	$1,086.56	$1,086.56
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 $3,087.00 / $3,087.00 / $3,087.00	Facility		$3,087.00	$3,087.00	$3,087.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $10,638.75	Professional		$2,623.95	$3,087.00	$10,638.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,096.84 / $6,096.84 / $7,316.21	Professional		$6,096.84	$6,096.84	$7,316.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,233.35 / $4,826.67	Professional		$638.07	$4,233.35	$4,826.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $6,161.32 / $6,161.32	Facility		$80.00	$6,161.32	$6,161.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $5,384.25 / $6,428.96	Facility		$3,087.00	$5,384.25	$6,428.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $3,790.53	Professional		$2,623.95	$3,087.00	$3,790.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,096.84 / $6,096.84 / $6,096.84	Professional		$6,096.84	$6,096.84	$6,096.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.92 / $2,594.52 / $5,200.77	Professional		$2,398.92	$2,594.52	$5,200.77