Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,232.93 / $21,379.62	Facility		$4,073.80	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,737.80	Professional		$831.76	$1,096.48	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,951.21	Professional		$1,047.13	$1,445.44	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,905.46	Facility		$60.26	$100.00	$1,905.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Professional		$39.81	$39.81	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Professional		$741.31	$741.31	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $15,488.17	Professional		$14,791.08	$14,791.08	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $9,120.11	Professional		$7,585.78	$9,120.11	$9,120.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,819.70	Facility		$954.99	$1,230.27	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $977.24 / $5,248.07	Professional		$954.99	$977.24	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,290.87	Professional		$891.25	$1,202.26	$2,290.87