Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.17 / $2,624.83 / $6,503.94	Facility		$933.17	$2,624.83	$6,503.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $840.50 / $1,325.21	Professional		$693.76	$840.50	$1,325.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $1,040.79	Facility		$203.00	$614.00	$1,040.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.12 / $1,116.40 / $2,273.16	Professional		$893.12	$1,116.40	$2,273.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $211.41 / $9,118.37	Facility		$59.40	$211.41	$9,118.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $657.42 / $939.17 / $2,249.25	Professional		$657.42	$939.17	$2,249.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.83 / $1,361.84 / $2,678.70	Facility		$356.83	$1,361.84	$2,678.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.40 / $1,156.33 / $2,433.91	Professional		$803.40	$1,156.33	$2,433.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $762.17 / $1,339.81 / $1,808.74	Professional		$762.17	$1,339.81	$1,808.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,009.44 / $1,330.82 / $2,332.21	Professional		$1,009.44	$1,330.82	$2,332.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,922.32 / $5,379.71 / $5,379.71	Facility		$1,922.32	$5,379.71	$5,379.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,190.18 / $5,190.18 / $8,416.58	Professional		$5,190.18	$5,190.18	$8,416.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.38 / $1,339.81 / $1,965.60	Facility		$700.38	$1,339.81	$1,965.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $818.37 / $1,221.73 / $2,500.59	Professional		$818.37	$1,221.73	$2,500.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $990.82 / $1,143.25 / $1,489.86	Professional		$990.82	$1,143.25	$1,489.86
United Facility/Professional Facility Modifier Low / Median / High Price $355.79 / $843.60 / $1,344.81	Facility		$355.79	$843.60	$1,344.81
United Facility/Professional Professional Modifier Low / Median / High Price $707.09 / $999.97 / $2,707.60	Professional		$707.09	$999.97	$2,707.60