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 $186.21 / $251.19 / $302.00	Professional		$186.21	$251.19	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $1,148.15	Professional		$239.88	$302.00	$1,148.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,344.23 / $12,022.64	Facility		$63.10	$2,344.23	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $812.83	Professional		$316.23	$446.68	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
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 $331.13 / $407.38 / $645.65	Professional		$331.13	$407.38	$645.65
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 $2,187.76 / $2,630.27 / $2,630.27	Professional		$2,187.76	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $426.58 / $537.03	Facility		$204.17	$426.58	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,412.54	Professional		$354.81	$354.81	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,022.64 / $25,703.96	Facility		$6,760.83	$12,022.64	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $676.08	Professional		$208.93	$338.84	$676.08