Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,756.25 / $9,602.19 / $26,395.70	Facility		$2,756.25	$9,602.19	$26,395.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,002.88 / $3,050.25 / $3,123.75	Professional		$2,002.88	$3,050.25	$3,123.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $18,411.75	Facility		$244.00	$614.00	$18,411.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,800.00 / $6,027.00	Professional		$1,500.00	$1,800.00	$6,027.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $4,851.00 / $32,964.75	Facility		$59.40	$4,851.00	$32,964.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,672.13 / $2,388.75 / $5,973.07	Professional		$1,672.13	$2,388.75	$5,973.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.94 / $4,932.77 / $12,027.36	Facility		$2,460.94	$4,932.77	$12,027.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,042.50 / $4,961.25	Professional		$3,675.00	$4,042.50	$4,961.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $4,226.25 / $8,011.50	Professional		$3,307.50	$4,226.25	$8,011.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,394.50 / $17,456.25 / $17,456.25	Facility		$6,394.50	$17,456.25	$17,456.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,301.50 / $18,301.50 / $27,562.50	Professional		$18,301.50	$18,301.50	$27,562.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,940.00 / $4,410.00 / $9,628.94	Facility		$2,940.00	$4,410.00	$9,628.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,042.50 / $5,512.50	Professional		$3,675.00	$4,042.50	$5,512.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,605.86 / $7,301.49	Professional		$1,543.50	$1,605.86	$7,301.49