Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,760.83 / $9,772.37	Professional		$3,548.13	$6,760.83	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $26,915.35	Professional		$3,235.94	$6,309.57	$26,915.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,454.71	Facility		$1,513.56	$1,513.56	$2,454.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $14,791.08	Professional		$4,365.16	$5,128.61	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $10,232.93	Professional		$8,511.38	$8,511.38	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $6,760.83	Professional		$630.96	$831.76	$6,760.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $8,511.38 / $8,511.38	Facility		$100.00	$8,511.38	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $8,912.51	Facility		$4,786.30	$7,762.47	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $5,128.61	Professional		$4,365.16	$4,365.16	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $776.25 / $4,786.30	Facility		$89.13	$776.25	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $6,918.31	Professional		$2,818.38	$3,630.78	$6,918.31