Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,128.61 / $11,481.54	Facility		$1,288.25	$5,128.61	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $2,398.83	Professional		$1,000.00	$1,023.29	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,995.26	Facility		$1,096.48	$1,258.93	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,862.09	Professional		$1,047.13	$1,122.02	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,630.27 / $3,311.31	Facility		$831.76	$2,630.27	$3,311.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,238.72	Professional		$1,071.52	$1,380.38	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,621.81	Professional		$977.24	$1,230.27	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,148.15 / $2,398.83	Professional		$131.83	$1,148.15	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,995.26	Facility		$1,023.29	$1,230.27	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Professional		$1,096.48	$1,096.48	$1,288.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,659.59	Professional		$977.24	$1,174.90	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,584.89	Professional		$1,096.48	$1,096.48	$1,584.89