Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $3,490.97 / $9,596.50	Facility		$1,002.07	$3,490.97	$9,596.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.17 / $1,108.95 / $1,135.68	Professional		$728.17	$1,108.95	$1,135.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $736.40 / $6,693.81	Facility		$260.00	$736.40	$6,693.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $839.04 / $2,191.17	Professional		$699.20	$839.04	$2,191.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,763.64 / $11,984.73	Facility		$59.40	$1,763.64	$11,984.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $607.91 / $868.46 / $2,171.58	Professional		$607.91	$868.46	$2,171.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.49 / $1,719.55 / $3,378.31	Facility		$881.49	$1,719.55	$3,378.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,469.70 / $1,803.72	Professional		$1,336.09	$1,469.70	$1,803.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,536.50 / $2,912.68	Professional		$1,202.48	$1,536.50	$2,912.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,324.80 / $6,346.43 / $6,346.43	Facility		$2,324.80	$6,346.43	$6,346.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,653.73 / $6,653.73 / $10,020.68	Professional		$6,653.73	$6,653.73	$10,020.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,068.86 / $1,603.31 / $2,981.51	Facility		$1,068.86	$1,603.31	$2,981.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,469.70 / $2,004.14	Professional		$1,336.09	$1,469.70	$2,004.14
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $607.91 / $3,437.76	Professional		$561.16	$607.91	$3,437.76