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 $12.88 / $56.23 / $72.44	Professional		$12.88	$56.23	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $269.15	Professional		$53.70	$93.33	$269.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,290.87 / $14,791.08	Facility		$63.10	$2,290.87	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $67.61	Professional		$25.70	$35.48	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,715.35	Facility		$3,162.28	$3,162.28	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,467.37	Professional		$3,311.31	$3,311.31	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $50.12	Professional		$26.30	$32.36	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Professional		$724.44	$724.44	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $37.15 / $83.18	Facility		$16.98	$37.15	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $28.84	Professional		$27.54	$27.54	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,022.64 / $25,703.96	Facility		$6,456.54	$12,022.64	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $89.13	Professional		$25.70	$47.86	$89.13