Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.30 / $3,969.06 / $10,910.60	Facility		$1,139.30	$3,969.06	$10,910.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.89 / $1,260.82 / $1,291.20	Professional		$827.89	$1,260.82	$1,291.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $7,610.49	Facility		$244.00	$614.00	$7,610.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $286.99 / $2,491.25	Professional		$239.16	$286.99	$2,491.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,098.28 / $4,283.75	Facility		$92.60	$1,098.28	$4,283.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $987.39 / $2,468.96	Professional		$691.17	$987.39	$2,468.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.20 / $2,138.69 / $4,971.51	Facility		$1,002.20	$2,138.69	$4,971.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,746.92 / $2,050.73	Professional		$1,519.06	$1,746.92	$2,050.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $1,746.92 / $2,901.40	Professional		$1,367.15	$1,746.92	$2,901.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,643.16 / $7,215.54 / $7,215.54	Facility		$2,643.16	$7,215.54	$7,215.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,564.92 / $7,564.92 / $11,392.95	Professional		$7,564.92	$7,564.92	$11,392.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.24 / $1,822.87 / $4,030.53	Facility		$1,234.24	$1,822.87	$4,030.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,670.97 / $2,278.59	Professional		$1,519.06	$1,670.97	$2,278.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,215.25 / $1,549.44 / $2,582.40	Professional		$1,215.25	$1,549.44	$2,582.40
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $663.78 / $3,018.07	Professional		$638.01	$663.78	$3,018.07