Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,120.11 / $15,135.61	Facility		$3,090.30	$9,120.11	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,238.72	Professional		$1,479.11	$1,778.28	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $11,220.18 / $11,220.18	Facility		$5,623.41	$11,220.18	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,801.89	Professional		$1,548.82	$1,737.80	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,786.30 / $6,309.57	Facility		$100.00	$4,786.30	$6,309.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $4,073.80	Professional		$1,288.25	$1,659.59	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $7,079.46	Facility		$1,479.11	$2,884.03	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,388.44	Professional		$2,570.40	$2,691.53	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,238.72 / $3,548.13	Professional		$100.00	$2,238.72	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,890.45	Professional		$1,778.28	$2,238.72	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $5,495.41	Facility		$1,318.26	$2,238.72	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,454.71	Professional		$1,698.24	$2,238.72	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,238.72	Facility		$933.25	$1,230.27	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $3,981.07	Professional		$933.25	$1,000.00	$3,981.07