Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.00 / $5,061.21 / $16,437.70	Facility		$1,866.00	$5,061.21	$16,437.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.96 / $1,866.00 / $2,114.80	Professional		$1,355.96	$1,866.00	$2,114.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $12,464.88	Facility		$244.00	$614.00	$12,464.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $394.68 / $1,505.24	Professional		$358.80	$394.68	$1,505.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $342.39 / $409.50 / $498.98	Facility		$342.39	$409.50	$498.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,132.04 / $1,617.20 / $2,444.07	Professional		$1,132.04	$1,617.20	$2,444.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,641.46 / $3,339.52 / $8,142.60	Facility		$1,641.46	$3,339.52	$8,142.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $3,032.25 / $3,790.31	Professional		$2,859.20	$3,032.25	$3,790.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $2,488.00 / $3,980.80	Professional		$99.00	$2,488.00	$3,980.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,990.40 / $2,488.00 / $4,354.00	Professional		$1,990.40	$2,488.00	$4,354.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,329.12 / $11,818.00 / $11,818.00	Facility		$4,329.12	$11,818.00	$11,818.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $2,488.00 / $5,836.85	Facility		$1,492.80	$2,488.00	$5,836.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,915.76 / $2,363.60 / $2,736.80	Professional		$1,915.76	$2,363.60	$2,736.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,044.96 / $3,806.64	Professional		$1,044.96	$1,044.96	$3,806.64