Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,248.07	Facility		$1,047.13	$3,090.30	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $812.83	Professional		$467.74	$616.60	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $3,890.45	Facility		$1,905.46	$3,801.89	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,548.82	Professional		$501.19	$691.83	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,621.81 / $2,137.96	Facility		$100.00	$1,621.81	$2,137.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,258.93	Professional		$446.68	$575.44	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $2,454.71	Facility		$512.86	$1,000.00	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,023.29	Professional		$758.58	$831.76	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,318.26	Professional		$676.08	$831.76	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $5,754.40	Professional		$3,801.89	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,737.80	Facility		$575.44	$912.01	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $831.76	Professional		$758.58	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $758.58	Facility		$316.23	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,445.44	Professional		$316.23	$316.23	$1,445.44