Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.51 / $5,063.72 / $13,919.80	Facility		$1,453.51	$5,063.72	$13,919.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.22 / $1,608.55 / $1,647.31	Professional		$1,056.22	$1,608.55	$1,647.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $9,709.43	Facility		$203.00	$614.00	$9,709.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $38.15 / $62.58	Professional		$33.47	$38.15	$62.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $881.80 / $1,259.71 / $3,149.90	Professional		$881.80	$1,259.71	$3,149.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.60 / $3,250.05 / $6,487.51	Facility		$1,278.60	$3,250.05	$6,487.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $2,325.61 / $3,100.82	Professional		$1,938.01	$2,325.61	$3,100.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,744.21 / $2,228.71 / $3,701.60	Professional		$1,744.21	$2,228.71	$3,701.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,372.14 / $9,205.54 / $9,205.54	Facility		$3,372.14	$9,205.54	$9,205.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,651.29 / $9,651.29 / $14,535.08	Professional		$9,651.29	$9,651.29	$14,535.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,550.41 / $2,325.61 / $5,142.14	Facility		$1,550.41	$2,325.61	$5,142.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $2,131.81 / $2,907.02	Professional		$1,938.01	$2,131.81	$2,907.02
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $821.72 / $3,722.92	Professional		$813.96	$821.72	$3,722.92