Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,326.78 / $5,297.22 / $9,448.24	Professional		$3,326.78	$5,297.22	$9,448.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.18 / $796.88 / $796.88	Facility		$719.18	$796.88	$796.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,698.18 / $8,082.53 / $14,617.01	Professional		$4,698.18	$8,082.53	$14,617.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,435.34 / $1,435.34 / $1,435.34	Facility		$1,435.34	$1,435.34	$1,435.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,447.14 / $7,447.14 / $7,885.39	Facility		$7,447.14	$7,447.14	$7,885.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,330.07 / $6,370.00 / $14,055.00	Professional		$6,330.07	$6,370.00	$14,055.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,711.70 / $6,711.70 / $8,054.04	Professional		$6,711.70	$6,711.70	$8,054.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,592.24 / $6,376.11	Professional		$638.07	$5,592.24	$6,376.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $8,139.29 / $8,139.29	Facility		$65.00	$8,139.29	$8,139.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,563.92 / $7,447.14 / $8,820.61	Facility		$4,563.92	$7,447.14	$8,820.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,330.07 / $7,447.14 / $7,447.14	Professional		$6,330.07	$7,447.14	$7,447.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,711.70 / $6,711.70 / $6,711.70	Professional		$6,711.70	$6,711.70	$6,711.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,168.92 / $3,427.44 / $5,514.15	Professional		$3,168.92	$3,427.44	$5,514.15