Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,912.51 / $22,387.21	Facility		$3,311.31	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,288.25	Professional		$407.38	$630.96	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,511.38 / $15,848.93	Facility		$4,677.35	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $2,187.76	Professional		$630.96	$851.14	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,467.37 / $10,471.29	Facility		$66.07	$3,467.37	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,348.96	Professional		$537.03	$758.58	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $11,748.98 / $14,791.08	Facility		$630.96	$11,748.98	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,548.82	Professional		$501.19	$794.33	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $14,454.40	Professional		$13,803.84	$13,803.84	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $1,584.89	Professional		$288.40	$338.84	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $53,703.18	Facility		$54.95	$56.23	$53,703.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $4,897.79	Professional		$3,890.45	$4,897.79	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $1,318.26	Facility		$380.19	$575.44	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,348.96	Professional		$436.52	$758.58	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $16,982.44 / $38,018.94	Facility		$7,762.47	$16,982.44	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,148.15	Professional		$331.13	$537.03	$1,148.15