Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.65 / $3,301.40 / $9,075.29	Facility		$947.65	$3,301.40	$9,075.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.62 / $1,048.73 / $1,074.00	Professional		$688.62	$1,048.73	$1,074.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $6,330.29	Facility		$244.00	$614.00	$6,330.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $8.98 / $2,072.17	Professional		$7.49	$8.98	$2,072.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,907.93 / $3,474.71	Facility		$97.00	$1,907.93	$3,474.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $574.90 / $821.29 / $2,053.64	Professional		$574.90	$821.29	$2,053.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.11 / $1,461.90 / $3,194.82	Facility		$846.11	$1,461.90	$3,194.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,389.88 / $1,705.77	Professional		$1,263.53	$1,389.88	$1,705.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.18 / $1,453.06 / $2,413.34	Professional		$1,137.18	$1,453.06	$2,413.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,198.54 / $6,001.77 / $6,001.77	Facility		$2,198.54	$6,001.77	$6,001.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,292.38 / $6,292.38 / $9,476.48	Professional		$6,292.38	$6,292.38	$9,476.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.82 / $1,516.24 / $2,819.57	Facility		$1,010.82	$1,516.24	$2,819.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,389.88 / $1,895.30	Professional		$1,263.53	$1,389.88	$1,895.30
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $568.59 / $3,520.95	Professional		$530.67	$568.59	$3,520.95