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 $186.21 / $257.04 / $389.05	Professional		$186.21	$257.04	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,511.38 / $15,848.93	Facility		$4,786.30	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $602.56	Professional		$147.91	$354.81	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $933.25 / $21,877.62	Facility		$63.10	$933.25	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Facility		$22,387.21	$22,387.21	$22,387.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,982.44	Professional		$16,218.10	$16,218.10	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $64,565.42 / $64,565.42	Facility		$64,565.42	$64,565.42	$64,565.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,187.76	Professional		$1,905.46	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $446.68	Facility		$245.47	$323.59	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $1,174.90	Professional		$263.03	$269.15	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $537.03	Professional		$208.93	$288.40	$537.03