Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.16 / $1,838.78 / $2,082.48	Professional		$1,174.16	$1,838.78	$2,082.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $406.87 / $4,253.56	Professional		$336.26	$406.87	$4,253.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,008.01 / $1,440.01 / $3,208.63	Professional		$1,008.01	$1,440.01	$3,208.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,290.40 / $5,290.40 / $5,290.40	Facility		$5,290.40	$5,290.40	$5,290.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,436.94 / $3,544.64	Professional		$2,215.40	$2,436.94	$3,544.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,993.86 / $2,436.94 / $3,876.95	Professional		$1,993.86	$2,436.94	$3,876.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,544.64 / $10,523.15 / $10,523.15	Facility		$3,544.64	$10,523.15	$10,523.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,032.69 / $11,032.69 / $16,615.50	Professional		$11,032.69	$11,032.69	$16,615.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,883.09 / $2,658.48 / $3,544.64	Facility		$1,883.09	$2,658.48	$3,544.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,436.94 / $2,436.94 / $3,323.10	Professional		$2,436.94	$2,436.94	$3,323.10
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $930.47 / $4,401.56	Professional		$930.47	$930.47	$4,401.56