Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,549.93 / $20,417.38	Facility		$4,168.69	$9,549.93	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $6,025.60	Professional		$3,801.89	$3,890.45	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,317.64 / $15,848.93	Facility		$4,786.30	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $165.96 / $331.13	Professional		$33.88	$165.96	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,691.53 / $12,022.64	Facility		$63.10	$2,691.53	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,748.98	Professional		$11,220.18	$11,220.18	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Facility		$44,668.36	$44,668.36	$44,668.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,073.80 / $7,413.10	Facility		$3,801.89	$4,073.80	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
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