Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,029.00 / $19,368.00	Facility		$3,800.00	$9,029.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $3,888.42	Professional		$3,800.00	$3,800.00	$3,888.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,764.00 / $16,461.00	Facility		$3,518.00	$7,764.00	$16,461.00
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 / $8,170.86	Facility		$66.09	$100.00	$8,170.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,878.76 / $11,674.90 / $27,505.06	Facility		$9,878.76	$11,674.90	$27,505.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,963.81 / $10,963.81 / $11,512.00	Professional		$10,963.81	$10,963.81	$11,512.00
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 $3,800.00 / $3,990.00 / $9,878.76	Facility		$3,800.00	$3,990.00	$9,878.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $29,571.00	Facility		$6,385.00	$13,722.00	$29,571.00