Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,890.45 / $8,317.64	Facility		$758.58	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $8,912.51	Professional		$741.31	$758.58	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $933.25 / $1,862.09	Facility		$812.83	$933.25	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $1,479.11	Professional		$776.25	$812.83	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $81.28 / $2,137.96	Facility		$1.12	$81.28	$2,137.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,862.09	Professional		$660.69	$933.25	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,230.27	Professional		$912.01	$912.01	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,479.11	Professional		$660.69	$1,174.90	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,905.46	Facility		$758.58	$933.25	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,548.82	Professional		$794.33	$794.33	$1,548.82