Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,695.00 / $17,393.00	Facility		$1,587.51	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.22 / $782.72 / $929.61	Professional		$660.22	$782.72	$929.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,886.00 / $10,705.00	Facility		$2,060.00	$4,886.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.20 / $759.82 / $800.25	Professional		$640.20	$759.82	$800.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $2,044.40	Facility		$65.80	$100.00	$2,044.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $612.90 / $875.57 / $1,674.35	Professional		$612.90	$875.57	$1,674.35
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 $2,936.36 / $2,936.36 / $3,083.18	Professional		$2,936.36	$2,936.36	$3,083.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.22 / $989.39 / $1,672.34	Professional		$761.22	$989.39	$1,672.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,035.34 / $10,823.54 / $11,879.05	Facility		$3,035.34	$10,823.54	$11,879.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,307.30 / $5,803.28 / $5,803.28	Professional		$4,307.30	$5,803.28	$5,803.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.90 / $986.13 / $1,225.11	Facility		$788.90	$986.13	$1,225.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $788.90 / $969.81 / $1,603.68	Professional		$788.90	$969.81	$1,603.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,267.00 / $26,109.00	Facility		$5,478.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.92 / $872.70 / $1,974.87	Professional		$668.92	$872.70	$1,974.87