Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,777.47 / $7,607.16 / $13,568.41	Professional		$4,777.47	$7,607.16	$13,568.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.79 / $1,144.36 / $1,144.36	Facility		$1,032.79	$1,144.36	$1,144.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,747.02 / $9,638.60 / $20,991.07	Professional		$6,747.02	$9,638.60	$20,991.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,061.26 / $2,061.26 / $2,061.26	Facility		$2,061.26	$2,061.26	$2,061.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $11,324.00	Facility		$10,694.63	$10,694.63	$11,324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,090.44 / $9,090.44 / $20,182.50	Professional		$9,090.44	$9,090.44	$20,182.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11,566.32 / $11,566.32 / $13,879.58	Professional		$11,566.32	$11,566.32	$13,879.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $8,030.88 / $9,156.67	Professional		$638.07	$8,030.88	$9,156.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $11,688.69 / $11,688.69	Facility		$65.00	$11,688.69	$11,688.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,554.24 / $10,694.63 / $12,667.03	Facility		$6,554.24	$10,694.63	$12,667.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,938.00 / $10,694.63 / $10,694.63	Professional		$7,938.00	$10,694.63	$10,694.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11,566.32 / $11,566.32 / $11,566.32	Professional		$11,566.32	$11,566.32	$11,566.32
United Facility/Professional Professional Modifier Low / Median / High Price $4,171.60 / $4,922.04 / $7,918.70	Professional		$4,171.60	$4,922.04	$7,918.70