Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,445.44	Facility		$1,412.54	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $4,570.88	Facility		$1,412.54	$1,778.28	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $4,073.80	Professional		$1,412.54	$1,479.11	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,691.53 / $4,897.79	Professional		$100.00	$2,691.53	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Facility		$1,348.96	$1,348.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,905.46	Professional		$1,412.54	$1,445.44	$1,905.46
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 $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,412.54 / $2,041.74	Facility		$165.96	$1,412.54	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,737.80	Professional		$125.89	$125.89	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,445.44 / $2,187.76	Professional		$147.91	$1,445.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,445.44	Professional		$125.89	$275.42	$1,445.44