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 $204.17 / $288.40 / $467.74	Professional		$204.17	$288.40	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $204.17 / $331.13	Professional		$74.13	$204.17	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $812.83 / $2,290.87	Facility		$63.10	$812.83	$2,290.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $616.60	Professional		$131.83	$323.59	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,023.29 / $2,238.72	Facility		$660.69	$1,023.29	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Professional		$1,230.27	$1,230.27	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $501.19	Professional		$125.89	$239.88	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $2,754.23	Professional		$2,290.87	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $537.03	Facility		$154.88	$323.59	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $549.54	Professional		$125.89	$131.83	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $616.60	Professional		$245.47	$338.84	$616.60