Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $27,542.29	Facility		$4,897.79	$11,481.54	$27,542.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $3,548.13	Professional		$549.54	$660.69	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,949.84	Professional		$616.60	$891.25	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $812.83 / $17,782.79	Facility		$66.07	$812.83	$17,782.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,698.24	Professional		$602.56	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $15,848.93	Facility		$13,489.63	$13,489.63	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,659.59	Professional		$630.96	$812.83	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $870.96	Professional		$512.86	$645.65	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,288.25	Professional		$537.03	$724.44	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $60,255.96	Facility		$54.95	$56.23	$60,255.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,370.32	Professional		$4,677.35	$5,370.32	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $1,148.15	Facility		$588.84	$741.31	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,659.59	Professional		$616.60	$812.83	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $870.96	Professional		$512.86	$676.08	$870.96
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 $524.81 / $741.31 / $1,819.70	Professional		$524.81	$741.31	$1,819.70