Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,983.53 / $7,935.18 / $14,153.49	Professional		$4,983.53	$7,935.18	$14,153.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.33 / $1,193.73 / $1,193.73	Facility		$1,077.33	$1,193.73	$1,193.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,037.87 / $12,107.60 / $20,510.36	Professional		$7,037.87	$12,107.60	$20,510.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,150.15 / $2,150.15 / $2,150.15	Facility		$2,150.15	$2,150.15	$2,150.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,155.72 / $11,155.72 / $11,812.31	Facility		$11,155.72	$11,155.72	$11,812.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,482.36 / $9,482.36 / $21,056.25	Professional		$9,482.36	$9,482.36	$21,056.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12,064.92 / $12,064.92 / $14,477.90	Professional		$12,064.92	$12,064.92	$14,477.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $8,377.20 / $9,551.39	Professional		$638.07	$8,377.20	$9,551.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $12,192.66 / $12,192.66	Facility		$65.00	$12,192.66	$12,192.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,836.80 / $11,155.72 / $13,213.29	Facility		$6,836.80	$11,155.72	$13,213.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,667.92 / $11,155.72 / $11,155.72	Professional		$6,667.92	$11,155.72	$11,155.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12,064.92 / $12,064.92 / $12,064.92	Professional		$12,064.92	$12,064.92	$12,064.92
United Facility/Professional Professional Modifier Low / Median / High Price $4,747.08 / $5,134.32 / $10,291.69	Professional		$4,747.08	$5,134.32	$10,291.69