Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,232.93 / $16,982.44	Facility		$3,467.37	$10,232.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,589.25 / $12,882.50	Facility		$6,309.57	$12,589.25	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $645.65	Professional		$302.00	$371.54	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $7,079.46	Facility		$1,819.70	$5,623.41	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $4,168.69	Professional		$1,479.11	$1,905.46	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $8,317.64	Facility		$1,659.59	$3,311.31	$8,317.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,801.89	Professional		$2,511.89	$2,754.23	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,365.16	Professional		$2,238.72	$2,754.23	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,620.87 / $18,620.87	Professional		$12,589.25	$18,620.87	$18,620.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $6,456.54	Facility		$1,905.46	$3,019.95	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $2,754.23	Professional		$2,511.89	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $38,018.94	Professional		$1,995.26	$2,818.38	$38,018.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $2,511.89	Facility		$1,047.13	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,786.30	Professional		$1,047.13	$1,047.13	$4,786.30