Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $8,912.51	Facility		$1,819.70	$5,370.32	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,380.38	Professional		$870.96	$1,071.52	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,606.93 / $6,606.93	Facility		$3,162.28	$6,606.93	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,511.89	Professional		$977.24	$1,230.27	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $3,715.35	Facility		$933.25	$2,951.21	$3,715.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,398.83	Professional		$758.58	$977.24	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $4,365.16	Facility		$891.25	$1,819.70	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,995.26	Professional		$1,513.56	$1,584.89	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,318.26 / $2,089.30	Professional		$100.00	$1,318.26	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,290.87	Professional		$1,047.13	$1,318.26	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
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 $776.25 / $1,479.11 / $3,311.31	Facility		$776.25	$1,479.11	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,445.44	Professional		$1,000.00	$1,318.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $1,318.26	Facility		$549.54	$724.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $2,344.23	Professional		$549.54	$588.84	$2,344.23