Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $5,304.07 / $14,580.50	Facility		$1,522.50	$5,304.07	$14,580.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.34 / $1,684.90 / $1,725.50	Professional		$1,106.34	$1,684.90	$1,725.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $10,170.29	Facility		$244.00	$614.00	$10,170.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $364.80 / $3,329.20	Professional		$304.00	$364.80	$3,329.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $2,679.60 / $18,209.09	Facility		$59.40	$2,679.60	$18,209.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $923.65 / $1,319.50 / $3,299.41	Professional		$923.65	$1,319.50	$3,299.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.38 / $2,348.71 / $5,132.85	Facility		$1,359.38	$2,348.71	$5,132.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,233.00 / $2,740.50	Professional		$2,030.00	$2,233.00	$2,740.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,334.50 / $4,425.39	Professional		$1,827.00	$2,334.50	$4,425.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,532.20 / $9,642.50 / $9,642.50	Facility		$3,532.20	$9,642.50	$9,642.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,109.40 / $10,109.40 / $15,225.00	Professional		$10,109.40	$10,109.40	$15,225.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,624.00 / $2,436.00 / $4,529.97	Facility		$1,624.00	$2,436.00	$4,529.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,233.00 / $3,045.00	Professional		$2,030.00	$2,233.00	$3,045.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $2,436.00 / $2,436.00	Facility		$2,436.00	$2,436.00	$2,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $913.50 / $4,501.32	Professional		$852.60	$913.50	$4,501.32