Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $1,288.25	Professional		$95.50	$128.82	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $2,754.23	Professional		$104.71	$141.25	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $870.96 / $2,187.76	Facility		$63.10	$870.96	$2,187.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $316.23	Professional		$87.10	$165.96	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Facility		$398.11	$398.11	$467.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $426.58 / $3,388.44	Professional		$128.82	$426.58	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $3,981.07	Professional		$114.82	$380.19	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $5,495.41	Professional		$4,466.84	$5,495.41	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $3,467.37	Facility		$128.82	$190.55	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $263.03	Professional		$112.20	$117.49	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $436.52	Professional		$123.03	$186.21	$436.52