Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,488.33 / $5,554.45 / $9,907.04	Professional		$3,488.33	$5,554.45	$9,907.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.11 / $835.58 / $835.58	Facility		$754.11	$835.58	$835.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,926.32 / $8,474.93 / $15,326.79	Professional		$4,926.32	$8,474.93	$15,326.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,505.06 / $1,505.06 / $1,505.06	Facility		$1,505.06	$1,505.06	$1,505.06
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 $5,300.15 / $5,300.15 / $5,406.15	Facility		$5,300.15	$5,300.15	$5,406.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,505.13 / $5,300.15 / $14,737.50	Professional		$4,505.13	$5,300.15	$14,737.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,445.12 / $8,445.12 / $10,134.14	Professional		$8,445.12	$8,445.12	$10,134.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,863.86 / $6,685.72	Professional		$638.07	$5,863.86	$6,685.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $8,534.45 / $8,534.45	Facility		$65.00	$8,534.45	$8,534.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,785.60 / $7,622.94 / $8,905.20	Facility		$4,785.60	$7,622.94	$8,905.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,505.13 / $5,300.15 / $5,880.00	Professional		$4,505.13	$5,300.15	$5,880.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8,445.12 / $8,445.12 / $8,445.12	Professional		$8,445.12	$8,445.12	$8,445.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,813.95 / $3,593.88 / $7,203.96	Professional		$2,813.95	$3,593.88	$7,203.96