Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.15 / $4,964.93 / $13,648.20	Facility		$1,425.15	$4,964.93	$13,648.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.60 / $1,577.17 / $1,615.17	Professional		$1,035.60	$1,577.17	$1,615.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $584.95 / $9,520.00	Facility		$260.00	$584.95	$9,520.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $600.00 / $2,907.30	Professional		$500.00	$600.00	$2,907.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $2,926.31 / $5,225.55	Facility		$98.20	$2,926.31	$5,225.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $864.59 / $1,235.13 / $3,088.44	Professional		$864.59	$1,235.13	$3,088.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,253.66 / $2,675.29 / $4,817.01	Facility		$1,253.66	$2,675.29	$4,817.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $2,090.21 / $2,565.27	Professional		$1,900.20	$2,090.21	$2,565.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,710.18 / $2,185.23 / $3,629.38	Professional		$1,710.18	$2,185.23	$3,629.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,306.35 / $9,025.95 / $9,025.95	Facility		$3,306.35	$9,025.95	$9,025.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,463.00 / $9,463.00 / $14,251.50	Professional		$9,463.00	$9,463.00	$14,251.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,349.52 / $2,280.23 / $4,232.70	Facility		$1,349.52	$2,280.23	$4,232.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $2,090.21 / $2,850.30	Professional		$1,900.20	$2,090.21	$2,850.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,520.16 / $1,938.20 / $3,230.34	Professional		$1,520.16	$1,938.20	$3,230.34
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $830.33 / $3,813.70	Professional		$798.08	$830.33	$3,813.70