Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.42 / $4,868.29 / $13,382.60	Facility		$1,397.42	$4,868.29	$13,382.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.46 / $1,546.47 / $1,583.74	Professional		$1,015.46	$1,546.47	$1,583.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $9,334.73	Facility		$244.00	$614.00	$9,334.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $249.60 / $2,850.72	Professional		$208.00	$249.60	$2,850.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $847.76 / $1,211.08 / $3,028.33	Professional		$847.76	$1,211.08	$3,028.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.26 / $2,623.22 / $4,723.25	Facility		$1,229.26	$2,623.22	$4,723.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $2,049.54 / $2,515.35	Professional		$1,863.22	$2,049.54	$2,515.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $2,142.69 / $3,558.75	Professional		$1,676.90	$2,142.69	$3,558.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,850.29 / $8,850.29	Facility		$3,242.00	$8,850.29	$8,850.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,278.84 / $9,278.84 / $13,974.15	Professional		$9,278.84	$9,278.84	$13,974.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,323.26 / $2,235.86 / $4,150.34	Facility		$1,323.26	$2,235.86	$4,150.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $2,049.54 / $2,794.83	Professional		$1,863.22	$2,049.54	$2,794.83
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $838.45 / $5,192.05	Professional		$782.55	$838.45	$5,192.05