Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.47 / $9,690.00 / $21,960.90	Facility		$679.47	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.48 / $648.13 / $679.47	Professional		$422.48	$648.13	$679.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,785.00 / $10,705.00	Facility		$2,060.00	$4,785.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,612.75 / $3,205.34 / $6,366.99	Professional		$2,612.75	$3,205.34	$6,366.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $10,005.06	Facility		$66.09	$100.00	$10,005.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.49 / $196.41 / $262.74	Professional		$187.49	$196.41	$262.74
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 $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $561.36 / $14,266.70 / $14,266.70	Facility		$561.36	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,470.02 / $2,470.02 / $2,470.02	Professional		$2,470.02	$2,470.02	$2,470.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.98 / $359.95 / $888.52	Facility		$297.98	$359.95	$888.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.63 / $229.06 / $262.74	Professional		$190.63	$229.06	$262.74
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 $548.64 / $812.80 / $2,035.52	Professional		$548.64	$812.80	$2,035.52