Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,475.00 / $6,505.00 / $17,380.00	Facility		$2,475.00	$6,505.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $8,934.00	Professional		$65.00	$65.00	$8,934.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $11,723.00 / $22,417.00	Facility		$4,644.00	$11,723.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.69 / $1,493.27 / $1,986.68	Professional		$1,241.69	$1,493.27	$1,986.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $2,044.40	Facility		$63.90	$100.00	$2,044.40
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 $13,093.97 / $13,093.97 / $13,748.67	Professional		$13,093.97	$13,093.97	$13,748.67
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 $1,049.81 / $1,282.85 / $1,658.38	Facility		$1,049.81	$1,282.85	$1,658.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.07 / $1,032.01 / $1,069.05	Professional		$1,000.07	$1,032.01	$1,069.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,078.00 / $28,973.00	Facility		$7,696.00	$13,078.00	$28,973.00