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 $138.04 / $190.55 / $295.12	Professional		$138.04	$190.55	$295.12
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 $162.18 / $245.47 / $407.38	Professional		$162.18	$245.47	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $2,398.83	Facility		$60.26	$100.00	$2,398.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $467.74	Professional		$147.91	$239.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,230.27	Facility		$1,047.13	$1,047.13	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,148.15 / $2,511.89	Professional		$144.54	$1,148.15	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $2,951.21	Professional		$128.82	$398.11	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $2,570.40	Facility		$154.88	$245.47	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $1,778.28	Professional		$128.82	$131.83	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $549.54	Professional		$154.88	$229.09	$549.54