Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $5,823.00 / $17,133.00	Facility		$1,700.00	$5,823.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.00 / $4,429.00 / $13,290.00	Professional		$1,686.00	$4,429.00	$13,290.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $6,892.00 / $13,707.00	Facility		$3,113.00	$6,892.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $52.07 / $73.01	Professional		$38.72	$52.07	$73.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $2,142.94	Facility		$65.90	$100.00	$2,142.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.27 / $2,744.27 / $2,881.48	Professional		$2,744.27	$2,744.27	$2,881.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00