Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.75 / $4,956.56 / $13,625.20	Facility		$1,422.75	$4,956.56	$13,625.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.05 / $1,574.51 / $1,840.09	Professional		$1,233.05	$1,574.51	$1,840.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $9,503.96	Facility		$244.00	$614.00	$9,503.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,890.02 / $2,897.00	Professional		$1,549.20	$1,890.02	$2,897.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $863.14 / $1,233.05 / $3,083.24	Professional		$863.14	$1,233.05	$3,083.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,251.55 / $3,181.27 / $6,350.21	Facility		$1,251.55	$3,181.27	$6,350.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $2,276.40 / $3,035.20	Professional		$1,897.00	$2,276.40	$3,035.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.30 / $2,181.55 / $3,623.27	Professional		$1,707.30	$2,181.55	$3,623.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,300.78 / $9,010.75 / $9,010.75	Facility		$3,300.78	$9,010.75	$9,010.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,447.06 / $9,447.06 / $14,227.50	Professional		$9,447.06	$9,447.06	$14,227.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,517.60 / $2,276.40 / $5,033.31	Facility		$1,517.60	$2,276.40	$5,033.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $2,086.69 / $2,845.50	Professional		$1,897.00	$2,086.69	$2,845.50
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $796.74 / $3,768.96	Professional		$796.74	$796.74	$3,768.96