Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $2,570.40	Professional		$537.03	$707.95	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $22,387.21	Facility		$6,918.31	$11,748.98	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,862.09	Professional		$630.96	$891.25	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,513.56	Professional		$512.86	$724.44	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $25,703.96	Facility		$9,549.93	$10,715.19	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,548.82	Professional		$575.44	$724.44	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $660.69	Professional		$478.63	$512.86	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,122.02	Professional		$446.68	$575.44	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,918.31	Facility		$54.95	$56.23	$6,918.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $4,786.30	Professional		$3,981.07	$4,786.30	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,380.38	Facility		$512.86	$691.83	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,513.56	Professional		$575.44	$724.44	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,513.56	Professional		$489.78	$724.44	$1,513.56