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 $229.09 / $602.56 / $776.25	Professional		$229.09	$602.56	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $6,606.93	Professional		$2,511.89	$3,235.94	$6,606.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,290.87 / $12,022.64	Facility		$63.10	$2,290.87	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
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 $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
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 $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $891.25	Facility		$302.00	$380.19	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $269.15	Professional		$263.03	$269.15	$269.15
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 $524.81 / $794.33 / $1,698.24	Professional		$524.81	$794.33	$1,698.24