Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,317.64 / $19,952.62	Facility		$3,090.30	$8,317.64	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $6,606.93 / $8,511.38	Professional		$851.14	$6,606.93	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $331.13	Professional		$295.12	$316.23	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,606.93 / $8,317.64	Facility		$2,089.30	$6,606.93	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,884.03	Professional		$2,754.23	$2,754.23	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $398.11 / $831.76	Professional		$104.71	$398.11	$831.76
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 $758.58 / $6,606.93 / $13,182.57	Facility		$758.58	$6,606.93	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61