Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,128.61 / $8,709.64	Facility		$1,778.28	$5,128.61	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,412.54	Professional		$812.83	$1,047.13	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,309.57 / $6,456.54	Facility		$3,162.28	$6,309.57	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $2,570.40	Professional		$66.07	$95.50	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,691.53 / $3,548.13	Facility		$100.00	$2,691.53	$3,548.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,089.30	Professional		$741.31	$954.99	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $4,073.80	Facility		$851.14	$1,659.59	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,698.24	Professional		$1,258.93	$1,380.38	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,187.76	Professional		$1,148.15	$1,380.38	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $9,549.93 / $9,549.93	Professional		$6,309.57	$9,549.93	$9,549.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,884.03	Facility		$912.01	$1,513.56	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,380.38	Professional		$1,258.93	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $1,258.93	Facility		$524.81	$1,258.93	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $2,454.71	Professional		$524.81	$524.81	$2,454.71