Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,232.93 / $16,982.44	Facility		$3,467.37	$10,232.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,398.83	Professional		$1,659.59	$1,995.26	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,589.25 / $12,589.25	Facility		$6,309.57	$12,589.25	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $1,621.81	Professional		$354.81	$407.38	$1,621.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $5,754.40	Professional		$1,445.44	$1,949.84	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,168.69 / $8,317.64	Facility		$1,659.59	$4,168.69	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $3,801.89	Professional		$1,778.28	$3,019.95	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,511.89 / $3,981.07	Professional		$100.00	$2,511.89	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $4,365.16	Professional		$1,995.26	$2,511.89	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $6,309.57	Facility		$1,479.11	$2,884.03	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $2,511.89	Professional		$1,778.28	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,511.89	Facility		$1,047.13	$1,380.38	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $4,466.84	Professional		$1,047.13	$1,122.02	$4,466.84