Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $4,546.34 / $12,497.50	Facility		$1,305.00	$4,546.34	$12,497.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.30 / $1,444.20 / $1,479.00	Professional		$948.30	$1,444.20	$1,479.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $8,717.40	Facility		$244.00	$614.00	$8,717.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,059.57 / $1,718.32	Professional		$846.27	$1,059.57	$1,718.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $1,131.00 / $2,828.07	Professional		$791.70	$1,131.00	$2,828.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.97 / $2,449.75 / $5,694.59	Facility		$1,147.97	$2,449.75	$5,694.59
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 $1,740.00 / $2,088.00 / $2,784.00	Professional		$1,740.00	$2,088.00	$2,784.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $2,001.00 / $3,323.40	Professional		$1,566.00	$2,001.00	$3,323.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,027.60 / $8,265.00 / $8,265.00	Facility		$3,027.60	$8,265.00	$8,265.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,665.20 / $8,665.20 / $13,050.00	Professional		$8,665.20	$8,665.20	$13,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,088.00 / $4,616.74	Facility		$1,392.00	$2,088.00	$4,616.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,658.02 / $1,914.00 / $2,610.00	Professional		$1,658.02	$1,914.00	$2,610.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $730.80 / $3,492.18	Professional		$730.80	$730.80	$3,492.18