Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.07 / $3,988.57 / $10,278.00	Facility		$1,029.07	$3,988.57	$10,278.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,029.07 / $1,227.68	Professional		$991.87	$1,029.07	$1,227.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.02 / $1,098.91 / $1,831.66	Facility		$665.02	$1,098.91	$1,831.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.68 / $1,053.85 / $2,058.13	Professional		$1,003.68	$1,053.85	$2,058.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $834.94 / $3,256.61	Facility		$92.60	$834.94	$3,256.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $824.50 / $1,177.84 / $2,424.48	Professional		$824.50	$1,177.84	$2,424.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $968.20 / $968.20 / $1,161.83	Professional		$968.20	$968.20	$1,161.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,150.00 / $2,195.00	Professional		$393.93	$1,150.00	$2,195.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.84 / $4,104.20 / $5,155.00	Facility		$1,177.84	$4,104.20	$5,155.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,487.04 / $4,711.39 / $5,313.60	Professional		$4,487.04	$4,711.39	$5,313.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,239.83 / $1,531.21	Facility		$1,053.85	$1,239.83	$1,531.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,346.11	Professional		$1,053.85	$1,053.85	$1,346.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $968.20 / $968.20 / $1,258.66	Professional		$968.20	$968.20	$1,258.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $2,123.64	Professional		$1,033.20	$1,033.20	$2,123.64