Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,471.29 / $22,908.68	Facility		$4,073.80	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $154.88 / $9,549.93	Professional		$45.71	$154.88	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,317.64 / $15,848.93	Facility		$4,786.30	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $309.03 / $724.44	Professional		$47.86	$309.03	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,630.27 / $12,302.69	Facility		$63.10	$2,630.27	$12,302.69
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 $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,471.29	Professional		$10,000.00	$10,000.00	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $660.69	Professional		$331.13	$398.11	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Facility		$24,547.09	$24,547.09	$24,547.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $3,235.94	Professional		$2,691.53	$3,235.94	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $426.58 / $588.84	Facility		$57.54	$426.58	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $380.19	Professional		$354.81	$363.08	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $302.00	Professional		$42.66	$64.57	$302.00