Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $758.58	Professional		$128.82	$204.17	$758.58
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 $125.89 / $144.54 / $309.03	Professional		$125.89	$144.54	$309.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,630.27 / $11,748.98	Facility		$64.57	$2,630.27	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $524.81	Professional		$128.82	$288.40	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,918.31	Facility		$5,888.44	$5,888.44	$6,918.31
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 $8,709.64 / $8,709.64 / $9,120.11	Professional		$8,709.64	$8,709.64	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $407.38	Professional		$125.89	$234.42	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $1,995.26	Professional		$1,778.28	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $741.31	Facility		$147.91	$295.12	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $446.68	Professional		$123.03	$128.82	$446.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $363.08	Professional		$112.20	$154.88	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $25,703.96	Facility		$6,456.54	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $524.81	Professional		$144.54	$218.78	$524.81