Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.65 / $4,372.39 / $9,579.02	Facility		$958.65	$4,372.39	$9,579.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.95 / $958.65 / $997.37	Professional		$796.95	$958.65	$997.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.63 / $1,107.83 / $2,130.82	Facility		$773.63	$1,107.83	$2,130.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $981.75 / $1,894.20	Professional		$962.50	$981.75	$1,894.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $769.68 / $3,002.07	Facility		$92.60	$769.68	$3,002.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $929.46 / $929.46 / $1,115.34	Professional		$929.46	$929.46	$1,115.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $1,350.00 / $2,037.00	Professional		$901.00	$1,350.00	$2,037.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.25 / $4,014.44 / $4,331.25	Facility		$1,097.25	$4,014.44	$4,331.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,389.00 / $4,389.00 / $5,197.50	Professional		$4,389.00	$4,389.00	$5,197.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.65 / $1,050.00 / $1,426.43	Facility		$958.65	$1,050.00	$1,426.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,155.00	Professional		$981.75	$981.75	$1,155.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $1,017.50 / $1,572.50	Professional		$925.00	$1,017.50	$1,572.50
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,863.59	Professional		$962.50	$962.50	$1,863.59