Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $22,387.21	Facility		$4,168.69	$10,471.29	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $3,715.35	Professional		$776.25	$1,258.93	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,238.72	Professional		$1,047.13	$1,380.38	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $18,197.01	Facility		$66.07	$4,570.88	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,801.89	Professional		$1,174.90	$1,698.24	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,370.32	Professional		$5,011.87	$5,011.87	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,691.53 / $7,244.36	Professional		$630.96	$2,691.53	$7,244.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $11,220.18	Professional		$9,549.93	$11,220.18	$11,220.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,454.71	Facility		$1,071.52	$1,778.28	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,388.44	Professional		$1,047.13	$1,659.59	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,511.89	Professional		$676.08	$1,047.13	$2,511.89