Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,648.00 / $18,252.00	Facility		$1,956.72	$7,648.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $229.83 / $293.27	Professional		$147.12	$229.83	$293.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.00 / $8,484.00 / $16,676.00	Facility		$3,534.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $337.46 / $539.50	Professional		$269.45	$337.46	$539.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $2,005.29	Facility		$63.90	$100.00	$2,005.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,721.73 / $3,721.73 / $3,907.82	Professional		$3,721.73	$3,721.73	$3,907.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,356.12 / $15,056.25 / $15,056.25	Facility		$1,356.12	$15,056.25	$15,056.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.12 / $1,788.72 / $2,083.28	Professional		$1,739.12	$1,788.72	$2,083.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.72 / $306.48 / $407.50	Facility		$231.72	$306.48	$407.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.50 / $246.50 / $255.40	Professional		$246.50	$246.50	$255.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,451.00	Facility		$5,478.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $256.05 / $611.44	Professional		$193.76	$256.05	$611.44