Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,510.61 / $5,589.87 / $9,970.23	Professional		$3,510.61	$5,589.87	$9,970.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.92 / $840.91 / $840.91	Facility		$758.92	$840.91	$840.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,957.82 / $7,082.60 / $15,424.52	Professional		$4,957.82	$7,082.60	$15,424.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,514.65 / $1,514.65 / $1,514.65	Facility		$1,514.65	$1,514.65	$1,514.65
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 $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,343.04 / $4,343.04 / $18,539.06	Professional		$4,343.04	$4,343.04	$18,539.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,499.12 / $8,499.12 / $10,198.94	Professional		$8,499.12	$8,499.12	$10,198.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,901.24 / $6,728.47	Professional		$638.07	$5,901.24	$6,728.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $8,589.12 / $8,589.12	Facility		$65.00	$8,589.12	$8,589.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $7,505.68 / $8,962.00	Facility		$4,816.16	$7,505.68	$8,962.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,343.04 / $4,343.04 / $5,109.46	Professional		$4,343.04	$4,343.04	$5,109.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8,499.12 / $8,499.12 / $8,499.12	Professional		$8,499.12	$8,499.12	$8,499.12
United Facility/Professional Professional Modifier Low / Median / High Price $3,136.95 / $3,616.80 / $5,228.25	Professional		$3,136.95	$3,616.80	$5,228.25