Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,033.50 / $12,687.00 / $36,437.22	Facility		$3,033.50	$12,687.00	$36,437.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $780.00 / $10,294.61	Professional		$673.30	$780.00	$10,294.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,921.00 / $25,901.00	Facility		$5,540.00	$12,921.00	$25,901.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.11 / $8,551.00 / $9,252.00	Professional		$855.11	$8,551.00	$9,252.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $14,232.94	Facility		$66.90	$100.00	$14,232.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,197.00 / $13,335.00 / $23,091.00	Facility		$9,197.00	$13,335.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9,901.64 / $9,901.64 / $10,396.71	Professional		$9,901.64	$9,901.64	$10,396.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $12,500.00	Professional		$393.93	$393.93	$12,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $40,858.00	Facility		$100.00	$100.00	$40,858.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $10,876.00 / $22,827.00	Facility		$875.29	$10,876.00	$22,827.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $16,516.00 / $48,831.00	Facility		$8,830.00	$16,516.00	$48,831.00