Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,380.38	Professional		$691.83	$794.33	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $812.83	Professional		$309.03	$549.54	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $812.83 / $16,595.87	Facility		$66.07	$812.83	$16,595.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $724.44 / $1,380.38	Professional		$275.42	$724.44	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $16,218.10	Facility		$13,803.84	$13,803.84	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $912.01 / $1,905.46	Professional		$199.53	$912.01	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,848.93	Professional		$15,135.61	$15,135.61	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $1,071.52	Professional		$269.15	$537.03	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $61,659.50	Facility		$54.95	$56.23	$61,659.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,025.60 / $6,025.60	Professional		$5,011.87	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $812.83 / $1,148.15	Facility		$323.59	$812.83	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $831.76 / $1,905.46	Professional		$190.55	$831.76	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $17,782.79 / $38,904.51	Facility		$9,332.54	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $2,089.30	Professional		$616.60	$954.99	$2,089.30