Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $5,095.04 / $14,005.90	Facility		$1,462.50	$5,095.04	$14,005.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.75 / $1,618.50 / $1,657.50	Professional		$1,062.75	$1,618.50	$1,657.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $9,769.50	Facility		$244.00	$614.00	$9,769.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,859.04 / $3,903.98	Professional		$1,549.20	$1,859.04	$3,903.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $3,003.00 / $5,362.50	Facility		$98.20	$3,003.00	$5,362.50
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 $1,286.51 / $2,745.41 / $4,943.25	Facility		$1,286.51	$2,745.41	$4,943.25
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 $1,384.89 / $2,340.00 / $4,343.63	Facility		$1,384.89	$2,340.00	$4,343.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,145.00 / $2,925.00	Professional		$1,950.00	$2,145.00	$2,925.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,989.00 / $3,315.00	Professional		$1,560.00	$1,989.00	$3,315.00
United Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,950.00 / $1,950.00	Facility		$819.00	$1,950.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $877.50 / $5,017.35	Professional		$819.00	$877.50	$5,017.35