Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,585.78 / $12,882.50	Facility		$2,570.40	$7,585.78	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,089.30	Professional		$1,202.26	$1,513.56	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $9,332.54 / $9,549.93	Facility		$4,677.35	$9,332.54	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $3,801.89	Professional		$208.93	$281.84	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,818.38 / $5,128.61	Facility		$97.72	$2,818.38	$5,128.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,090.30	Professional		$1,096.48	$1,412.54	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,691.53 / $6,165.95	Facility		$1,258.93	$2,691.53	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,511.89	Professional		$1,862.09	$2,041.74	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,235.94	Professional		$1,659.59	$2,041.74	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $14,125.38 / $14,125.38	Professional		$9,332.54	$14,125.38	$14,125.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $4,265.80	Facility		$1,412.54	$2,238.72	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,041.74	Professional		$1,862.09	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $3,548.13	Professional		$776.25	$776.25	$3,548.13