Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $23,988.33	Facility		$4,786.30	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,995.26	Professional		$851.14	$1,202.26	$1,995.26
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 $4,570.88 / $12,302.69 / $190,546.07	Professional		$4,570.88	$12,302.69	$190,546.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,513.56 / $7,762.47	Facility		$63.10	$1,513.56	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,073.80	Professional		$1,548.82	$2,137.96	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,623.41	Facility		$4,677.35	$4,677.35	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,025.60	Professional		$5,754.40	$5,754.40	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $2,041.74	Professional		$245.47	$562.34	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $11,220.18	Professional		$9,772.37	$11,220.18	$11,220.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,445.44 / $2,187.76	Facility		$288.40	$1,445.44	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $2,290.87	Professional		$234.42	$251.19	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $3,311.31	Professional		$1,000.00	$1,659.59	$3,311.31