Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $11,481.54 / $16,595.87	Professional		$5,888.44	$11,481.54	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $15,848.93 / $45,708.82	Professional		$5,370.32	$15,848.93	$45,708.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,168.69	Facility		$2,570.40	$2,570.40	$4,168.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $25,118.86	Professional		$11,220.18	$11,220.18	$25,118.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $14,454.40	Professional		$12,022.64	$12,022.64	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $11,481.54	Professional		$630.96	$831.76	$11,481.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $14,454.40 / $14,454.40	Facility		$100.00	$14,454.40	$14,454.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $13,182.57 / $15,135.61	Facility		$8,128.31	$13,182.57	$15,135.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $11,220.18 / $13,182.57	Professional		$7,079.46	$11,220.18	$13,182.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,202.26 / $8,128.31	Facility		$151.36	$1,202.26	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $11,481.54	Professional		$4,677.35	$6,165.95	$11,481.54