Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $4,585.53 / $12,605.30	Facility		$1,316.25	$4,585.53	$12,605.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.48 / $1,456.65 / $1,491.75	Professional		$956.48	$1,456.65	$1,491.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $8,792.54	Facility		$244.00	$614.00	$8,792.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $507.76 / $2,544.75	Professional		$423.14	$507.76	$2,544.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $798.53 / $1,140.75 / $2,852.45	Professional		$798.53	$1,140.75	$2,852.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.85 / $2,470.86 / $4,448.93	Facility		$1,157.85	$2,470.86	$4,448.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,930.50 / $2,369.25	Professional		$1,755.00	$1,930.50	$2,369.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,579.50 / $2,018.25 / $3,352.05	Professional		$1,579.50	$2,018.25	$3,352.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,053.70 / $8,336.25 / $8,336.25	Facility		$3,053.70	$8,336.25	$8,336.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,739.90 / $8,739.90 / $13,162.50	Professional		$8,739.90	$8,739.90	$13,162.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,246.40 / $2,106.00 / $3,909.26	Facility		$1,246.40	$2,106.00	$3,909.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,930.50 / $2,632.50	Professional		$1,755.00	$1,930.50	$2,632.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $3,486.83	Professional		$737.10	$737.10	$3,486.83