Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.03 / $3,410.73 / $9,375.78	Facility		$979.03	$3,410.73	$9,375.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $1,083.46 / $1,109.56	Professional		$711.43	$1,083.46	$1,109.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $6,539.90	Facility		$244.00	$614.00	$6,539.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $201.36 / $1,172.22	Professional		$201.36	$201.36	$1,172.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $943.78 / $3,681.14	Facility		$92.60	$943.78	$3,681.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $593.94 / $848.49 / $2,121.65	Professional		$593.94	$848.49	$2,121.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.14 / $1,752.13 / $4,272.14	Facility		$874.14	$1,752.13	$4,272.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,566.44 / $2,088.59	Professional		$1,305.36	$1,566.44	$2,088.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,501.18 / $2,493.26	Professional		$1,174.83	$1,501.18	$2,493.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,271.34 / $6,200.51 / $6,200.51	Facility		$2,271.34	$6,200.51	$6,200.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,500.74 / $6,500.74 / $9,790.28	Professional		$6,500.74	$6,500.74	$9,790.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $874.14 / $1,713.95 / $3,953.96	Facility		$874.14	$1,713.95	$3,953.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,435.91 / $1,958.06	Professional		$1,305.36	$1,435.91	$1,958.06
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $570.41 / $3,358.72	Professional		$548.26	$570.41	$3,358.72