Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,867.89 / $4,566.54 / $8,145.01	Professional		$2,867.89	$4,566.54	$8,145.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.98 / $686.96 / $686.96	Facility		$619.98	$686.96	$686.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,050.20 / $5,786.00 / $12,600.79	Professional		$4,050.20	$5,786.00	$12,600.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,237.35 / $1,237.35 / $1,237.35	Facility		$1,237.35	$1,237.35	$1,237.35
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 $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,245.86 / $3,818.66 / $12,116.25	Professional		$3,245.86	$3,818.66	$12,116.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,943.20 / $6,943.20 / $8,331.84	Professional		$6,943.20	$6,943.20	$8,331.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.88 / $638.07 / $5,496.70	Professional		$482.88	$638.07	$5,496.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,016.64 / $7,016.64	Facility		$65.00	$7,016.64	$7,016.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $6,131.64 / $7,321.36	Facility		$3,818.66	$6,131.64	$7,321.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,245.86 / $3,818.66 / $4,355.00	Professional		$3,245.86	$3,818.66	$4,355.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,943.20 / $6,943.20 / $6,943.20	Professional		$6,943.20	$6,943.20	$6,943.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,731.84 / $2,954.68 / $5,955.69	Professional		$2,731.84	$2,954.68	$5,955.69