Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $8,011.00 / $19,011.00	Facility		$1,956.72	$8,011.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.86 / $1,605.86 / $1,811.41	Professional		$1,605.86	$1,605.86	$1,811.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $13,697.00	Facility		$2,456.00	$6,191.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $204.91 / $317.00	Professional		$34.15	$204.91	$317.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,300.60	Facility		$66.09	$100.00	$7,300.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.49 / $5,836.39 / $13,750.03	Facility		$4,938.49	$5,836.39	$13,750.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,480.91 / $5,480.91 / $5,754.96	Professional		$5,480.91	$5,480.91	$5,754.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,605.86 / $1,811.41 / $4,432.17	Facility		$1,605.86	$1,811.41	$4,432.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00