Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,471.29 / $22,908.68	Facility		$4,897.79	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $7,943.28	Professional		$691.83	$933.25	$7,943.28
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 $645.65 / $1,096.48 / $1,819.70	Professional		$645.65	$1,096.48	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $5,128.61 / $19,054.61	Facility		$64.57	$5,128.61	$19,054.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Professional		$39.81	$39.81	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,370.32	Professional		$5,011.87	$5,011.87	$5,370.32
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 $19,952.62 / $19,952.62 / $19,952.62	Facility		$19,952.62	$19,952.62	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $7,413.10	Professional		$5,754.40	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $7,943.28	Facility		$851.14	$1,023.29	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $4,073.80	Professional		$776.25	$794.33	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,995.26	Professional		$741.31	$1,047.13	$1,995.26