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 $213.80 / $309.03 / $416.87	Professional		$213.80	$309.03	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,096.48	Professional		$426.58	$602.56	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,754.40 / $9,120.11	Facility		$100.00	$5,754.40	$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 $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,344.23	Professional		$2,238.72	$2,238.72	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $630.96 / $831.76	Professional		$89.13	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,630.27	Professional		$2,398.83	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $549.54	Facility		$281.84	$398.11	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $1,445.44	Professional		$316.23	$331.13	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $588.84	Professional		$229.09	$309.03	$588.84