Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,617.21 / $9,117.83 / $25,064.30	Facility		$2,617.21	$9,117.83	$25,064.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.85 / $2,896.39 / $2,966.19	Professional		$1,901.85	$2,896.39	$2,966.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $17,483.05	Facility		$244.00	$614.00	$17,483.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $3,133.69	Professional		$200.00	$200.00	$3,133.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,523.00 / $9,840.76	Facility		$92.60	$2,523.00	$9,840.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,587.78 / $2,268.26 / $5,671.78	Professional		$1,587.78	$2,268.26	$5,671.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,336.81 / $4,683.96 / $11,420.69	Facility		$2,336.81	$4,683.96	$11,420.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $4,187.56 / $5,583.41	Professional		$3,489.63	$4,187.56	$5,583.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,140.67 / $4,013.07 / $6,665.19	Professional		$3,140.67	$4,013.07	$6,665.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,071.96 / $16,575.74 / $16,575.74	Facility		$6,071.96	$16,575.74	$16,575.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.36 / $17,378.36 / $26,172.23	Professional		$17,378.36	$17,378.36	$26,172.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,336.81 / $4,581.89 / $10,570.09	Facility		$2,336.81	$4,581.89	$10,570.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $3,838.59 / $5,234.45	Professional		$3,489.63	$3,838.59	$5,234.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,587.78 / $9,372.10	Professional		$1,465.64	$1,587.78	$9,372.10