Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,902.00	Facility		$1,820.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $221.97 / $397.65	Professional		$196.91	$221.97	$397.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,048.00 / $13,697.00	Facility		$2,456.00	$6,048.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $218.28 / $269.74	Professional		$175.45	$218.28	$269.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,924.04	Facility		$66.09	$100.00	$7,924.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.15 / $291.64 / $557.70	Professional		$204.15	$291.64	$557.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.26 / $2,917.04 / $25,976.00	Facility		$2,468.26	$2,917.04	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $213.76 / $249.25	Professional		$204.07	$213.76	$249.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,739.37 / $2,739.37 / $2,876.34	Professional		$2,739.37	$2,739.37	$2,876.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $312.99 / $495.79	Professional		$277.06	$312.99	$495.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $952.12 / $11,082.10 / $11,082.10	Facility		$952.12	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.60 / $1,946.96 / $2,194.19	Professional		$1,883.60	$1,946.96	$2,194.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $349.97 / $483.74	Facility		$272.64	$349.97	$483.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $272.64 / $349.97	Professional		$207.52	$272.64	$349.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $22,073.00	Facility		$4,728.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $283.77 / $590.39	Professional		$192.86	$283.77	$590.39