Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,811.56 / $4,476.84 / $7,984.90	Professional		$2,811.56	$4,476.84	$7,984.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.80 / $673.47 / $673.47	Facility		$607.80	$673.47	$673.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,970.61 / $5,672.30 / $12,353.13	Professional		$3,970.61	$5,672.30	$12,353.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,213.06 / $1,213.06 / $1,213.06	Facility		$1,213.06	$1,213.06	$1,213.06
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 $4,321.80 / $4,321.80 / $4,321.80	Facility		$4,321.80	$4,321.80	$4,321.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,673.53 / $3,673.53 / $14,850.00	Professional		$3,673.53	$3,673.53	$14,850.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,806.76 / $6,806.76 / $8,168.11	Professional		$6,806.76	$6,806.76	$8,168.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,726.20 / $5,388.68	Professional		$638.07	$4,726.20	$5,388.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $6,878.76 / $6,878.76	Facility		$80.00	$6,878.76	$6,878.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $6,143.95 / $7,177.44	Facility		$3,857.20	$6,143.95	$7,177.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,673.53 / $3,896.82 / $4,321.80	Professional		$3,673.53	$3,896.82	$4,321.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,806.76 / $6,806.76 / $6,806.76	Professional		$6,806.76	$6,806.76	$6,806.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,678.20 / $2,896.60 / $4,660.10	Professional		$2,678.20	$2,896.60	$4,660.10