Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,004.00 / $22,210.00	Facility		$2,421.00	$10,004.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.79 / $349.19 / $568.22	Professional		$309.79	$349.19	$568.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $14,393.00	Facility		$2,456.00	$6,191.00	$14,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.42 / $342.84 / $418.28	Professional		$267.42	$342.84	$418.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,237.37	Facility		$66.09	$100.00	$8,237.37
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 $18,183.00 / $26,628.40 / $31,469.93	Facility		$18,183.00	$26,628.40	$31,469.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $287.57 / $335.34	Professional		$274.52	$287.57	$335.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29,553.15 / $29,553.15 / $31,030.81	Professional		$29,553.15	$29,553.15	$31,030.81
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 $1,361.68 / $119,557.40 / $119,557.40	Facility		$1,361.68	$119,557.40	$119,557.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,619.12 / $2,693.36 / $3,137.93	Professional		$2,619.12	$2,693.36	$3,137.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.35 / $499.34 / $676.45	Facility		$431.35	$499.34	$676.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $307.74 / $384.68	Professional		$279.14	$307.74	$384.68
United Facility/Professional Facility Modifier Low / Median / High Price $16,068.00 / $36,331.00 / $74,803.00	Facility		$16,068.00	$36,331.00	$74,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.44 / $449.75 / $936.28	Professional		$303.44	$449.75	$936.28