Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,230.27	Professional		$691.83	$954.99	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,137.96	Professional		$954.99	$1,288.25	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $851.14 / $3,981.07	Facility		$63.10	$851.14	$3,981.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,698.24	Professional		$660.69	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $7,943.28	Facility		$707.95	$1,047.13	$7,943.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,309.57	Professional		$6,025.60	$6,025.60	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,288.25	Professional		$616.60	$758.58	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Facility		$23,442.29	$23,442.29	$23,442.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,918.31 / $6,918.31	Professional		$6,025.60	$6,918.31	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,548.82	Facility		$758.58	$977.24	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,174.90	Professional		$691.83	$691.83	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,089.30	Professional		$776.25	$1,071.52	$2,089.30