Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $13,182.57 / $21,877.62	Facility		$4,365.16	$13,182.57	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,128.61 / $7,413.10	Professional		$2,691.53	$5,128.61	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $38,018.94 / $38,904.51	Facility		$19,054.61	$38,018.94	$38,904.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,290.87	Professional		$851.14	$1,096.48	$2,290.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,888.44 / $15,135.61	Professional		$4,466.84	$5,888.44	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $12,589.25 / $25,118.86	Facility		$5,011.87	$12,589.25	$25,118.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $10,232.93	Professional		$7,585.78	$9,120.11	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $13,182.57	Professional		$6,760.83	$8,317.64	$13,182.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $36,307.81 / $36,307.81	Facility		$36,307.81	$36,307.81	$36,307.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $56,234.13 / $56,234.13	Professional		$38,018.94	$56,234.13	$56,234.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,120.11 / $19,498.45	Facility		$4,897.79	$9,120.11	$19,498.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,317.64 / $10,964.78	Professional		$7,585.78	$8,317.64	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,585.78 / $7,585.78	Facility		$3,162.28	$7,585.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $14,454.40	Professional		$3,162.28	$3,162.28	$14,454.40