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 $83.18 / $147.91 / $177.83	Professional		$83.18	$147.91	$177.83
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 $151.36 / $245.47 / $645.65	Professional		$151.36	$245.47	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $977.24 / $12,022.64	Facility		$63.10	$977.24	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $134.90	Professional		$51.29	$70.79	$134.90
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 $151.36 / $186.21 / $295.12	Professional		$151.36	$186.21	$295.12
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 $1,174.90 / $1,412.54 / $1,412.54	Professional		$1,174.90	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $194.98 / $275.42	Facility		$102.33	$194.98	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Professional		$162.18	$162.18	$169.82
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 $125.89 / $181.97 / $389.05	Professional		$125.89	$181.97	$389.05