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 $691.83 / $1,862.09 / $2,398.83	Professional		$691.83	$1,862.09	$2,398.83
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 $512.86 / $2,137.96 / $6,760.83	Professional		$512.86	$2,137.96	$6,760.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,513.56 / $7,943.28	Facility		$64.57	$1,513.56	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $870.96	Professional		$338.84	$478.63	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
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 $5,011.87 / $5,011.87 / $5,370.32	Professional		$5,011.87	$5,011.87	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $691.83 / $2,398.83	Professional		$302.00	$691.83	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Facility		$19,952.62	$19,952.62	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $15,848.93 / $15,848.93	Professional		$14,454.40	$15,848.93	$15,848.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,698.24 / $2,691.53	Facility		$354.81	$1,698.24	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $9,332.54	Professional		$295.12	$309.03	$9,332.54
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 $616.60 / $1,513.56 / $3,630.78	Professional		$616.60	$1,513.56	$3,630.78