Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $2,951.21	Professional		$1,230.27	$2,187.76	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,737.80 / $5,128.61	Professional		$588.84	$1,737.80	$5,128.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,479.11 / $7,943.28	Facility		$63.10	$1,479.11	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $630.96	Professional		$245.47	$346.74	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $9,120.11	Facility		$8,912.51	$8,912.51	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,818.38	Professional		$2,344.23	$2,344.23	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,760.83	Professional		$6,456.54	$6,456.54	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,630.78	Professional		$1,698.24	$2,187.76	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $16,595.87 / $16,595.87	Professional		$14,125.38	$16,595.87	$16,595.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,801.89	Facility		$1,778.28	$2,454.71	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $9,120.11	Professional		$1,905.46	$2,041.74	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,230.27 / $2,754.23	Professional		$478.63	$1,230.27	$2,754.23