Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.22 / $6,880.00 / $17,902.00	Facility		$1,897.22	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,649.11 / $1,896.29 / $2,491.26	Professional		$1,649.11	$1,896.29	$2,491.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,303.00 / $15,399.00	Facility		$3,518.00	$7,303.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $2,217.23 / $3,932.70	Professional		$180.94	$2,217.23	$3,932.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $2,261.53	Facility		$66.09	$100.00	$2,261.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,611.70 / $2,302.42 / $4,402.93	Professional		$1,611.70	$2,302.42	$4,402.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,684.74 / $2,684.74 / $3,172.88	Facility		$2,684.74	$2,684.74	$3,172.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.31 / $1,259.47 / $1,468.79	Professional		$1,202.31	$1,259.47	$1,468.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.62 / $2,979.62 / $3,128.60	Professional		$2,979.62	$2,979.62	$3,128.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,944.98 / $12,054.10 / $12,054.10	Facility		$8,944.98	$12,054.10	$12,054.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,208.56 / $11,470.88 / $13,745.40	Professional		$10,208.56	$11,470.88	$13,745.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.21 / $2,275.73 / $2,943.81	Facility		$1,889.21	$2,275.73	$2,943.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,222.46 / $1,347.86 / $1,684.82	Professional		$1,222.46	$1,347.86	$1,684.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.69 / $2,302.39 / $5,668.15	Professional		$1,555.69	$2,302.39	$5,668.15