Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $16,982.44	Facility		$2,454.71	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $870.96	Professional		$275.42	$323.59	$870.96
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 $263.03 / $380.19 / $616.60	Professional		$263.03	$380.19	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $10,964.78	Facility		$66.07	$2,884.03	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $724.44	Professional		$295.12	$416.87	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,698.24	Facility		$630.96	$891.25	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $707.95	Professional		$281.84	$389.05	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Professional		$912.01	$912.01	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,071.52	Professional		$457.09	$660.69	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,715.35	Facility		$54.95	$56.23	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,630.27	Professional		$2,187.76	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $616.60	Facility		$288.40	$398.11	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $630.96	Professional		$275.42	$371.54	$630.96
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 / $323.59 / $616.60	Professional		$245.47	$323.59	$616.60