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 $977.24 / $1,318.26 / $1,905.46	Professional		$977.24	$1,318.26	$1,905.46
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 $1,230.27 / $1,548.82 / $3,388.44	Professional		$1,230.27	$1,548.82	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $870.96 / $5,248.07	Facility		$63.10	$870.96	$5,248.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $70.79	Professional		$39.81	$39.81	$70.79
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 $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 $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,715.19	Professional		$8,912.51	$10,715.19	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,995.26	Facility		$1,096.48	$1,380.38	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,122.02 / $5,888.44	Professional		$1,096.48	$1,122.02	$5,888.44
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 $1,047.13 / $1,445.44 / $2,754.23	Professional		$1,047.13	$1,445.44	$2,754.23