Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,344.23 / $3,981.07	Facility		$776.25	$2,344.23	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,949.84 / $3,019.95	Professional		$478.63	$1,949.84	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $15,848.93 / $16,218.10	Facility		$7,943.28	$15,848.93	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,818.38	Professional		$1,288.25	$1,659.59	$2,818.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $6,309.57	Professional		$1,862.09	$2,454.71	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,248.07 / $10,471.29	Facility		$2,089.30	$5,248.07	$10,471.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,265.80	Professional		$2,511.89	$3,467.37	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $5,495.41	Professional		$2,818.38	$3,467.37	$5,495.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $23,442.29 / $23,442.29	Professional		$15,848.93	$23,442.29	$23,442.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $8,317.64	Facility		$1,905.46	$3,801.89	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,570.88	Professional		$3,162.28	$3,467.37	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $38,018.94	Professional		$2,511.89	$3,162.28	$38,018.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $3,162.28	Facility		$1,318.26	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $6,025.60	Professional		$1,318.26	$1,318.26	$6,025.60