Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $977.24	Professional		$181.97	$234.42	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,548.82	Professional		$758.58	$977.24	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $4,786.30 / $12,022.64	Facility		$63.10	$4,786.30	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $870.96	Professional		$346.74	$467.74	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Facility		$2,454.71	$2,454.71	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Professional		$2,884.03	$2,884.03	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $660.69	Professional		$338.84	$398.11	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $4,677.35	Professional		$3,467.37	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $645.65	Facility		$245.47	$446.68	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Professional		$354.81	$380.19	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $446.68	Professional		$323.59	$363.08	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $794.33	Professional		$194.98	$295.12	$794.33