Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $8,912.51	Facility		$1,819.70	$5,370.32	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,380.38	Professional		$812.83	$1,047.13	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $6,606.93	Facility		$3,311.31	$6,606.93	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $1,819.70	Professional		$199.53	$199.53	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $3,715.35	Facility		$933.25	$2,951.21	$3,715.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,187.76	Professional		$758.58	$977.24	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $4,365.16	Facility		$870.96	$1,698.24	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,778.28	Professional		$1,318.26	$1,548.82	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,290.87	Professional		$1,174.90	$1,445.44	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,772.37 / $9,772.37	Professional		$6,456.54	$9,772.37	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $3,388.44	Facility		$1,000.00	$1,548.82	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Professional		$1,318.26	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,318.26 / $1,318.26	Facility		$549.54	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $2,511.89	Professional		$549.54	$549.54	$2,511.89