Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,762.47 / $13,182.57	Facility		$2,630.27	$7,762.47	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $3,630.78	Professional		$1,230.27	$1,548.82	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,549.93 / $9,549.93	Facility		$4,786.30	$9,549.93	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,951.21	Professional		$1,548.82	$1,949.84	$2,951.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,801.89	Professional		$1,122.02	$1,445.44	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,162.28 / $6,309.57	Facility		$1,258.93	$3,162.28	$6,309.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,570.40	Professional		$1,905.46	$2,290.87	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,311.31	Professional		$1,698.24	$2,089.30	$3,311.31
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 $9,549.93 / $14,125.38 / $14,125.38	Professional		$9,549.93	$14,125.38	$14,125.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $4,897.79	Facility		$1,445.44	$2,290.87	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,754.23	Professional		$1,905.46	$2,089.30	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,905.46 / $1,905.46	Facility		$794.33	$1,905.46	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $3,630.78	Professional		$794.33	$794.33	$3,630.78