Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.54 / $8,690.52 / $22,532.30	Facility		$2,666.54	$8,690.52	$22,532.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $2,666.54	Professional		$2,666.54	$2,666.54	$2,666.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $37,986.82	Facility		$244.00	$614.00	$37,986.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,007.06 / $1,595.47	Professional		$846.27	$1,007.06	$1,595.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,449.90 / $4,928.43 / $12,323.54	Professional		$3,449.90	$4,928.43	$12,323.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,002.35 / $12,715.35 / $25,381.41	Facility		$5,002.35	$12,715.35	$25,381.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,582.20 / $9,098.64 / $12,131.52	Professional		$7,582.20	$9,098.64	$12,131.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,823.98 / $8,719.53 / $14,482.00	Professional		$6,823.98	$8,719.53	$14,482.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,193.03 / $36,015.44 / $36,015.44	Facility		$13,193.03	$36,015.44	$36,015.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37,759.36 / $37,759.36 / $56,866.50	Professional		$37,759.36	$37,759.36	$56,866.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,928.43 / $9,098.64 / $20,117.84	Facility		$4,928.43	$9,098.64	$20,117.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,582.20 / $8,340.42 / $11,373.30	Professional		$7,582.20	$8,340.42	$11,373.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,184.52 / $3,184.52 / $19,509.00	Professional		$3,184.52	$3,184.52	$19,509.00