Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.85 / $4,222.68 / $13,714.40	Facility		$1,556.85	$4,222.68	$13,714.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.31 / $1,556.85 / $1,764.43	Professional		$1,131.31	$1,556.85	$1,764.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $10,399.76	Facility		$244.00	$614.00	$10,399.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.57 / $1,266.23	Professional		$12.34	$13.57	$1,266.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $944.49 / $1,349.27 / $1,929.59	Professional		$944.49	$1,349.27	$1,929.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,369.51 / $2,725.53 / $5,262.15	Facility		$1,369.51	$2,725.53	$5,262.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,075.73 / $2,594.67 / $2,981.34	Professional		$2,075.73	$2,594.67	$2,981.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $2,075.80 / $3,321.28	Professional		$99.00	$2,075.80	$3,321.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,660.64 / $2,075.80 / $3,632.65	Professional		$1,660.64	$2,075.80	$3,632.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,611.89 / $9,860.04 / $9,860.04	Facility		$3,611.89	$9,860.04	$9,860.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,437.99 / $1,951.25 / $3,736.44	Facility		$1,437.99	$1,951.25	$3,736.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,702.16 / $2,075.80 / $2,283.38	Professional		$1,702.16	$2,075.80	$2,283.38
United Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $871.84 / $3,044.16	Professional		$871.84	$871.84	$3,044.16