Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $338.84	Professional		$141.25	$199.53	$338.84
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 $380.19 / $758.58 / $1,348.96	Professional		$380.19	$758.58	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,606.93 / $9,120.11	Facility		$100.00	$6,606.93	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $104.71	Professional		$40.74	$57.54	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Professional		$186.21	$186.21	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $27.54	Professional		$14.13	$17.38	$27.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,288.25 / $1,288.25	Professional		$346.74	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $354.81	Facility		$17.38	$24.55	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $1,023.29	Professional		$15.14	$15.85	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $512.86	Professional		$204.17	$288.40	$512.86