Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.55 / $2,984.02 / $8,202.84	Facility		$856.55	$2,984.02	$8,202.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.41 / $947.91 / $970.75	Professional		$622.41	$947.91	$970.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $5,721.72	Facility		$244.00	$614.00	$5,721.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,495.68 / $3,128.46	Professional		$1,246.40	$1,495.68	$3,128.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,758.77 / $3,140.67	Facility		$98.20	$1,758.77	$3,140.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $519.64 / $742.34 / $1,856.22	Professional		$519.64	$742.34	$1,856.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.48 / $1,607.91 / $2,895.13	Facility		$753.48	$1,607.91	$2,895.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,256.27 / $1,541.78	Professional		$1,142.06	$1,256.27	$1,541.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,313.37 / $2,181.33	Professional		$1,027.84	$1,313.37	$2,181.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,987.18 / $5,424.79 / $5,424.79	Facility		$1,987.18	$5,424.79	$5,424.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,687.46 / $5,687.46 / $8,565.45	Professional		$5,687.46	$5,687.46	$8,565.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $811.09 / $1,370.47 / $2,543.94	Facility		$811.09	$1,370.47	$2,543.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,256.27 / $1,713.09	Professional		$1,142.06	$1,256.27	$1,713.09
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $479.67 / $2,532.40	Professional		$479.67	$479.67	$2,532.40