Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,412.54	Facility		$1,380.38	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,659.59	Professional		$1,380.38	$1,380.38	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $4,365.16	Facility		$1,380.38	$1,737.80	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $4,073.80	Professional		$1,380.38	$1,479.11	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $776.25 / $3,388.44	Facility		$64.57	$776.25	$3,388.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,630.78 / $6,606.93	Professional		$100.00	$3,630.78	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,380.38	Facility		$1,318.26	$1,318.26	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Professional		$1,380.38	$1,380.38	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,862.09	Professional		$1,380.38	$1,548.82	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,709.64 / $8,709.64	Professional		$8,128.31	$8,709.64	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,380.38 / $2,344.23	Facility		$169.82	$1,380.38	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $2,344.23	Professional		$125.89	$125.89	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $1,949.84	Professional		$125.89	$316.23	$1,949.84