Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $9,690.00 / $21,960.90	Facility		$13.60	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $67.87	Professional		$13.60	$13.60	$67.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,362.00 / $15,399.00	Facility		$3,242.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $98.13 / $267.75	Professional		$59.83	$98.13	$267.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $12,307.08	Facility		$66.09	$100.00	$12,307.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $27.03 / $67.95	Professional		$18.92	$27.03	$67.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,177.55 / $3,755.29 / $8,847.14	Facility		$3,177.55	$3,755.29	$8,847.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,526.56 / $3,526.56 / $3,702.89	Professional		$3,526.56	$3,526.56	$3,702.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.83 / $51.66	Professional		$27.36	$32.83	$51.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $14,266.70 / $14,266.70	Facility		$100.45	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $729.65 / $829.18 / $854.06	Professional		$729.65	$829.18	$854.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $34.57 / $49.01	Facility		$19.45	$34.57	$49.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.83 / $34.57	Professional		$27.36	$32.83	$34.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,672.00	Facility		$5,478.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $49.50 / $92.00	Professional		$26.40	$49.50	$92.00