Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,953.00 / $7,146.30 / $17,701.00	Facility		$2,953.00	$7,146.30	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $6,342.00 / $16,573.00	Professional		$1,600.00	$6,342.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,886.00 / $10,705.00	Facility		$2,060.00	$4,886.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.20 / $997.03 / $1,034.26	Professional		$791.20	$997.03	$1,034.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $2,044.40	Facility		$65.80	$100.00	$2,044.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,936.36 / $2,936.36 / $3,083.18	Professional		$2,936.36	$2,936.36	$3,083.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.99 / $1,230.46 / $1,559.94	Facility		$1,022.99	$1,230.46	$1,559.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $976.37 / $986.53 / $1,035.83	Professional		$976.37	$986.53	$1,035.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,150.00 / $26,109.00	Facility		$5,799.00	$12,150.00	$26,109.00