Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.65 / $4,946.85 / $14,613.90	Facility		$1,594.65	$4,946.85	$14,613.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.03 / $1,764.75 / $2,919.91	Professional		$1,382.03	$1,764.75	$2,919.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $10,652.26	Facility		$244.00	$614.00	$10,652.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.40 / $24.96	Professional		$13.28	$15.40	$24.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $967.42 / $1,382.03 / $3,455.77	Professional		$967.42	$1,382.03	$3,455.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,402.76 / $2,993.48 / $6,958.52	Facility		$1,402.76	$2,993.48	$6,958.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,640.24 / $1,807.50	Professional		$1,599.84	$1,640.24	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,551.44 / $3,401.92	Professional		$2,126.19	$2,551.44	$3,401.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,913.58 / $2,445.13 / $4,061.04	Professional		$1,913.58	$2,445.13	$4,061.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,699.59 / $10,099.45 / $10,099.45	Facility		$3,699.59	$10,099.45	$10,099.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,588.48 / $10,588.48 / $15,946.50	Professional		$10,588.48	$10,588.48	$15,946.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,472.90 / $2,853.89 / $6,440.26	Facility		$1,472.90	$2,853.89	$6,440.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,658.02 / $2,338.82 / $3,189.30	Professional		$1,658.02	$2,338.82	$3,189.30
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $4,267.28	Professional		$893.00	$893.00	$4,267.28