Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,509.35	Facility		$1,494.41	$1,494.41	$1,509.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,484.98	Professional		$1,494.41	$1,494.41	$2,484.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,503.07 / $1,789.62 / $3,027.88	Facility		$1,503.07	$1,789.62	$3,027.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,542.24 / $3,637.38	Professional		$1,494.41	$1,542.24	$3,637.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $100.00 / $2,999.18	Facility		$98.20	$100.00	$2,999.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $720.00 / $1,598.40	Professional		$504.00	$720.00	$1,598.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,409.82 / $1,494.41	Facility		$1,409.82	$1,409.82	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,370.07	Professional		$1,494.41	$1,494.41	$2,370.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $897.11 / $1,600.61 / $2,160.82	Professional		$897.11	$1,600.61	$2,160.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.97 / $1,868.01 / $3,287.70	Professional		$1,344.97	$1,868.01	$3,287.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,406.17 / $7,066.85 / $7,066.85	Facility		$2,406.17	$7,066.85	$7,066.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,066.85 / $7,066.85 / $7,066.85	Professional		$7,066.85	$7,066.85	$7,066.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $986.82 / $3,281.25 / $3,281.25	Professional		$986.82	$3,281.25	$3,281.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,298.69 / $1,494.41 / $2,444.52	Facility		$1,298.69	$1,494.41	$2,444.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,527.23	Professional		$1,494.41	$1,494.41	$2,527.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $897.11 / $1,076.53 / $1,643.85	Professional		$897.11	$1,076.53	$1,643.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,279.93 / $6,618.33 / $6,618.33	Facility		$6,279.93	$6,618.33	$6,618.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $3,050.39	Professional		$1,494.41	$1,494.41	$3,050.39