Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,921.33 / $4,651.63 / $8,296.85	Professional		$2,921.33	$4,651.63	$8,296.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.54 / $699.77 / $699.77	Facility		$631.54	$699.77	$699.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,125.59 / $5,893.70 / $12,835.69	Professional		$4,125.59	$5,893.70	$12,835.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,260.41 / $1,260.41 / $1,260.41	Facility		$1,260.41	$1,260.41	$1,260.41
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 $6,539.60 / $6,539.60 / $6,924.42	Facility		$6,539.60	$6,539.60	$6,924.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,558.66 / $5,558.66 / $12,341.25	Professional		$5,558.66	$5,558.66	$12,341.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,893.70 / $5,893.70 / $7,072.44	Professional		$5,893.70	$5,893.70	$7,072.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,910.70 / $5,599.01	Professional		$638.07	$4,910.70	$5,599.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,147.29 / $7,147.29	Facility		$65.00	$7,147.29	$7,147.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,007.68 / $6,539.60 / $7,745.68	Facility		$4,007.68	$6,539.60	$7,745.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,127.76 / $6,539.60 / $6,539.60	Professional		$4,127.76	$6,539.60	$6,539.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,893.70 / $5,893.70 / $5,893.70	Professional		$5,893.70	$5,893.70	$5,893.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,782.72 / $3,009.76 / $4,420.28	Professional		$2,782.72	$3,009.76	$4,420.28