Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.80 / $3,213.47 / $7,779.54	Facility		$962.80	$3,213.47	$7,779.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $962.80 / $1,438.40	Professional		$754.00	$962.80	$1,438.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $570.00 / $5,811.60	Facility		$260.00	$570.00	$5,811.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $378.00 / $702.00	Professional		$360.00	$378.00	$702.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,751.60 / $3,190.00	Facility		$97.00	$1,751.60	$3,190.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $545.05 / $778.66 / $1,947.04	Professional		$545.05	$778.66	$1,947.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $1,342.12 / $2,933.06	Facility		$776.79	$1,342.12	$2,933.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $1,364.11 / $5,714.97	Professional		$593.82	$1,364.11	$5,714.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,317.73 / $1,617.22	Professional		$1,160.00	$1,317.73	$1,617.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.15 / $1,377.63 / $2,611.51	Professional		$1,078.15	$1,377.63	$2,611.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,084.42 / $5,690.22 / $5,690.22	Facility		$2,084.42	$5,690.22	$5,690.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,965.74 / $5,965.74 / $8,984.54	Professional		$5,965.74	$5,965.74	$8,984.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $939.60 / $1,437.53 / $2,588.56	Facility		$939.60	$1,437.53	$2,588.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,364.11 / $2,395.88	Professional		$1,197.94	$1,364.11	$2,395.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $958.35 / $1,221.90 / $2,036.50	Professional		$958.35	$1,221.90	$2,036.50
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $503.13 / $2,793.16	Professional		$487.20	$503.13	$2,793.16