Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,513.07 / $7,186.14 / $12,817.34	Professional		$4,513.07	$7,186.14	$12,817.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $975.64 / $1,081.04 / $1,081.04	Facility		$975.64	$1,081.04	$1,081.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,373.57 / $9,105.10 / $19,829.18	Professional		$6,373.57	$9,105.10	$19,829.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,947.16 / $1,947.16 / $1,947.16	Facility		$1,947.16	$1,947.16	$1,947.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,102.62 / $10,102.62 / $10,697.17	Facility		$10,102.62	$10,102.62	$10,697.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,587.24 / $8,587.24 / $19,068.75	Professional		$8,587.24	$8,587.24	$19,068.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,926.12 / $10,926.12 / $13,111.34	Professional		$10,926.12	$10,926.12	$13,111.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $7,586.34 / $8,649.85	Professional		$638.07	$7,586.34	$8,649.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $11,041.73 / $11,041.73	Facility		$65.00	$11,041.73	$11,041.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,191.44 / $10,102.62 / $11,965.89	Facility		$6,191.44	$10,102.62	$11,965.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,620.48 / $10,102.62 / $10,102.62	Professional		$7,620.48	$10,102.62	$10,102.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10,926.12 / $10,926.12 / $10,926.12	Professional		$10,926.12	$10,926.12	$10,926.12
United Facility/Professional Professional Modifier Low / Median / High Price $4,262.64 / $4,649.60 / $9,372.14	Professional		$4,262.64	$4,649.60	$9,372.14