Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,921.65	Facility		$1,902.62	$1,902.62	$1,921.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,997.75	Professional		$1,902.62	$1,902.62	$1,997.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.56 / $2,365.48 / $4,002.19	Facility		$1,967.56	$2,365.48	$4,002.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $2,115.42 / $4,807.80	Professional		$1,902.62	$2,115.42	$4,807.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,522.10	Professional		$100.00	$100.00	$1,522.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.93 / $1,794.93 / $1,902.62	Facility		$1,794.93	$1,794.93	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,295.00	Professional		$1,902.62	$1,902.62	$2,295.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $68.68 / $82.42	Professional		$68.68	$68.68	$82.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.36 / $2,378.28 / $4,147.71	Professional		$1,712.36	$2,378.28	$4,147.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,530.84 / $6,650.73 / $8,437.50	Facility		$2,530.84	$6,650.73	$8,437.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,450.00 / $10,260.00 / $10,463.36	Professional		$9,450.00	$10,260.00	$10,463.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $3,327.34 / $5,052.63	Professional		$75.54	$3,327.34	$5,052.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,997.75 / $3,239.78	Facility		$1,902.62	$1,997.75	$3,239.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,812.50	Professional		$1,902.62	$1,902.62	$2,812.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $82.42 / $2,092.88	Professional		$68.68	$82.42	$2,092.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $3,819.89	Professional		$1,902.62	$1,902.62	$3,819.89