Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,495.41 / $9,120.11	Facility		$1,862.09	$5,495.41	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,479.11	Professional		$794.33	$1,096.48	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,760.83 / $6,760.83	Facility		$3,388.44	$6,760.83	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $2,754.23	Professional		$426.58	$616.60	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $3,801.89	Facility		$954.99	$3,019.95	$3,801.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,238.72	Professional		$776.25	$1,000.00	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $4,466.84	Facility		$912.01	$1,862.09	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,819.70	Professional		$1,348.96	$1,621.81	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,344.23	Professional		$1,202.26	$1,479.11	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $10,000.00	Professional		$6,606.93	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $3,467.37	Facility		$1,023.29	$1,621.81	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,479.11	Professional		$1,348.96	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,348.96 / $1,348.96	Facility		$562.34	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $2,570.40	Professional		$562.34	$562.34	$2,570.40