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 $1,440.00 / $1,656.00 / $2,707.20	Professional		$1,440.00	$1,656.00	$2,707.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,650.05 / $4,826.25	Facility		$97.00	$2,650.05	$4,826.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $887.25 / $1,267.50 / $3,169.38	Professional		$887.25	$1,267.50	$3,169.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.23 / $2,256.15 / $4,930.58	Facility		$1,175.23	$2,256.15	$4,930.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,145.00 / $2,632.50	Professional		$1,950.00	$2,145.00	$2,632.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,242.50 / $3,724.50	Professional		$1,755.00	$2,242.50	$3,724.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,393.00 / $9,262.50 / $9,262.50	Facility		$3,393.00	$9,262.50	$9,262.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,711.00 / $9,711.00 / $14,625.00	Professional		$9,711.00	$9,711.00	$14,625.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $2,340.00 / $3,916.31	Facility		$1,404.00	$2,340.00	$3,916.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $1,950.00 / $2,632.50	Professional		$1,930.50	$1,950.00	$2,632.50
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $798.53 / $3,486.83	Professional		$737.10	$798.53	$3,486.83