Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,697.00 / $20,509.00	Facility		$2,843.00	$9,697.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.76 / $771.65 / $1,005.90	Professional		$578.76	$771.65	$1,005.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $14,851.00 / $32,649.00	Facility		$5,863.00	$14,851.00	$32,649.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.46 / $399.75 / $774.39	Professional		$356.46	$399.75	$774.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $4,320.78	Facility		$66.09	$100.00	$4,320.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,183.00 / $25,976.00 / $28,177.27	Facility		$18,183.00	$25,976.00	$28,177.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26,461.04 / $26,461.04 / $27,784.09	Professional		$26,461.04	$26,461.04	$27,784.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.68 / $107,048.30 / $107,048.30	Facility		$1,361.68	$107,048.30	$107,048.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,691.83 / $3,691.83 / $3,691.83	Professional		$3,691.83	$3,691.83	$3,691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.52 / $575.14 / $1,270.18	Facility		$445.52	$575.14	$1,270.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.27 / $371.27 / $384.68	Professional		$371.27	$371.27	$384.68
United Facility/Professional Facility Modifier Low / Median / High Price $17,643.00 / $36,665.00 / $81,823.00	Facility		$17,643.00	$36,665.00	$81,823.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.72 / $1,012.99 / $2,209.02	Professional		$664.72	$1,012.99	$2,209.02