Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $17,378.01	Facility		$1,778.28	$6,025.60	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $3,981.07	Professional		$616.60	$758.58	$3,981.07
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 $691.83 / $1,023.29 / $2,290.87	Professional		$691.83	$1,023.29	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $812.83 / $8,128.31	Facility		$66.07	$812.83	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,862.09	Professional		$660.69	$933.25	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,570.88	Facility		$3,890.45	$3,890.45	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,819.70	Professional		$707.95	$891.25	$1,819.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $954.99	Professional		$575.44	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,479.11	Professional		$602.56	$794.33	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,378.01	Facility		$54.95	$56.23	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,165.95	Professional		$5,248.07	$6,165.95	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,258.93	Facility		$645.65	$831.76	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,819.70	Professional		$676.08	$891.25	$1,819.70
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 $575.44 / $831.76 / $2,041.74	Professional		$575.44	$831.76	$2,041.74