Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $22,908.68	Facility		$3,311.31	$8,128.31	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $5,623.41	Professional		$436.52	$812.83	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $954.99	Professional		$363.08	$489.78	$954.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $3,388.44 / $11,748.98	Facility		$63.10	$3,388.44	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $977.24	Professional		$407.38	$549.54	$977.24
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 $1,071.52 / $1,174.90 / $1,380.38	Professional		$1,071.52	$1,174.90	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,073.80	Professional		$3,890.45	$3,890.45	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,513.56	Professional		$741.31	$870.96	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,621.81	Facility		$630.96	$1,000.00	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,412.54	Professional		$812.83	$870.96	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,549.93 / $20,892.96	Facility		$4,073.80	$9,549.93	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $676.08 / $1,148.15	Professional		$251.19	$676.08	$1,148.15