Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,038.34 / $4,837.91 / $8,628.91	Professional		$3,038.34	$4,837.91	$8,628.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.83 / $727.79 / $727.79	Facility		$656.83	$727.79	$727.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,290.85 / $6,129.80 / $13,349.42	Professional		$4,290.85	$6,129.80	$13,349.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,310.89 / $1,310.89 / $1,310.89	Facility		$1,310.89	$1,310.89	$1,310.89
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 $3,704.40 / $3,704.40 / $3,704.40	Facility		$3,704.40	$3,704.40	$3,704.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $3,704.40 / $12,836.25	Professional		$3,148.74	$3,704.40	$12,836.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,129.80 / $6,129.80 / $7,355.76	Professional		$6,129.80	$6,129.80	$7,355.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,107.38 / $5,823.31	Professional		$638.07	$5,107.38	$5,823.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,433.65 / $7,433.65	Facility		$65.00	$7,433.65	$7,433.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $6,495.92 / $7,756.32	Facility		$3,704.40	$6,495.92	$7,756.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $3,704.40 / $6,026.06	Professional		$3,148.74	$3,704.40	$6,026.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,129.80 / $6,129.80 / $6,129.80	Professional		$6,129.80	$6,129.80	$6,129.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,758.41 / $3,130.20 / $5,035.96	Professional		$2,758.41	$3,130.20	$5,035.96