Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.35 / $4,514.26 / $14,661.40	Facility		$1,664.35	$4,514.26	$14,661.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.43 / $1,664.35 / $1,886.26	Professional		$1,209.43	$1,664.35	$1,886.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $11,117.84	Facility		$244.00	$614.00	$11,117.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,628.84 / $2,602.65	Professional		$1,549.20	$1,628.84	$2,602.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,643.81 / $6,102.61	Facility		$97.00	$3,643.81	$6,102.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,009.70 / $1,442.43 / $2,062.82	Professional		$1,009.70	$1,442.43	$2,062.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.03 / $2,567.53 / $5,611.05	Facility		$1,486.03	$2,567.53	$5,611.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $3,187.33 / $3,380.93	Professional		$2,549.86	$3,187.33	$3,380.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $2,219.13 / $3,550.61	Professional		$99.00	$2,219.13	$3,550.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,775.30 / $2,219.13 / $3,883.48	Professional		$1,775.30	$2,219.13	$3,883.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,861.29 / $10,540.87 / $10,540.87	Facility		$3,861.29	$10,540.87	$10,540.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,331.48 / $1,997.22 / $3,994.43	Facility		$1,331.48	$1,997.22	$3,994.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.69 / $2,219.13 / $2,441.04	Professional		$1,819.69	$2,219.13	$2,441.04
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $969.69 / $4,393.88	Professional		$932.03	$969.69	$4,393.88