Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $22,387.21	Facility		$3,715.35	$9,120.11	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $1,023.29	Professional		$354.81	$794.33	$1,023.29
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 $457.09 / $588.84 / $933.25	Professional		$457.09	$588.84	$933.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $3,801.89 / $15,135.61	Facility		$64.57	$3,801.89	$15,135.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $467.74	Professional		$186.21	$251.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $10,232.93	Professional		$9,772.37	$9,772.37	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $39,810.72 / $39,810.72	Facility		$39,810.72	$39,810.72	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $1,148.15	Facility		$446.68	$588.84	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Professional		$380.19	$380.19	$398.11
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 $645.65 / $1,000.00 / $1,862.09	Professional		$645.65	$1,000.00	$1,862.09