Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.55 / $3,308.04 / $9,093.54	Facility		$949.55	$3,308.04	$9,093.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.96 / $1,050.83 / $1,076.16	Professional		$784.96	$1,050.83	$1,076.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $6,343.01	Facility		$244.00	$614.00	$6,343.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,641.60 / $2,592.00	Professional		$1,440.00	$1,641.60	$2,592.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,911.77 / $3,481.69	Facility		$97.00	$1,911.77	$3,481.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $576.07 / $822.95 / $2,057.79	Professional		$576.07	$822.95	$2,057.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.82 / $1,464.85 / $3,201.28	Facility		$847.82	$1,464.85	$3,201.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,392.68 / $1,709.19	Professional		$1,266.07	$1,392.68	$1,709.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.46 / $1,455.98 / $2,418.19	Professional		$1,139.46	$1,455.98	$2,418.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,202.96 / $6,013.83 / $6,013.83	Facility		$2,202.96	$6,013.83	$6,013.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,305.03 / $6,305.03 / $9,495.53	Professional		$6,305.03	$6,305.03	$9,495.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.88 / $1,464.85 / $3,209.51	Facility		$889.88	$1,464.85	$3,209.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,392.68 / $1,899.11	Professional		$1,266.07	$1,392.68	$1,899.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,012.86 / $1,291.39 / $2,152.32	Professional		$1,012.86	$1,291.39	$2,152.32
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $531.75 / $2,541.00	Professional		$531.75	$531.75	$2,541.00