Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.65 / $5,555.43 / $15,271.40	Facility		$1,594.65	$5,555.43	$15,271.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.78 / $1,764.75 / $1,807.27	Professional		$1,158.78	$1,764.75	$1,807.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $10,652.26	Facility		$244.00	$614.00	$10,652.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $25.38 / $3,486.96	Professional		$21.15	$25.38	$3,486.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $2,806.58 / $19,072.00	Facility		$59.40	$2,806.58	$19,072.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $967.42 / $1,382.03 / $3,455.77	Professional		$967.42	$1,382.03	$3,455.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.80 / $2,460.01 / $5,376.10	Facility		$1,423.80	$2,460.01	$5,376.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,338.82 / $2,870.37	Professional		$2,126.19	$2,338.82	$2,870.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,913.58 / $2,445.13 / $4,146.09	Professional		$1,913.58	$2,445.13	$4,146.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,699.59 / $10,099.45 / $10,099.45	Facility		$3,699.59	$10,099.45	$10,099.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,588.48 / $10,588.48 / $15,946.50	Professional		$10,588.48	$10,588.48	$15,946.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,700.96 / $2,551.44 / $4,744.64	Facility		$1,700.96	$2,551.44	$4,744.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,338.82 / $3,189.30	Professional		$2,126.19	$2,338.82	$3,189.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,700.96 / $2,168.71 / $3,614.54	Professional		$1,700.96	$2,168.71	$3,614.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $2,551.44 / $2,551.44	Facility		$2,551.44	$2,551.44	$2,551.44
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $4,694.64	Professional		$893.00	$893.00	$4,694.64