Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.57 / $8,255.06 / $22,692.60	Facility		$2,369.57	$8,255.06	$22,692.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,721.88 / $2,622.32 / $2,685.51	Professional		$1,721.88	$2,622.32	$2,685.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $15,828.69	Facility		$244.00	$614.00	$15,828.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.60 / $2,910.02 / $4,719.18	Professional		$1,239.60	$2,910.02	$4,719.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,437.53 / $2,053.62 / $5,135.08	Professional		$1,437.53	$2,053.62	$5,135.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.42 / $4,448.14 / $10,339.98	Facility		$2,084.42	$4,448.14	$10,339.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,640.24 / $1,807.50	Professional		$1,599.84	$1,640.24	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,791.30 / $5,055.07	Professional		$3,159.42	$3,791.30	$5,055.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,843.48 / $3,633.33 / $6,034.49	Professional		$2,843.48	$3,633.33	$6,034.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,497.39 / $15,007.25 / $15,007.25	Facility		$5,497.39	$15,007.25	$15,007.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,733.91 / $15,733.91 / $23,695.65	Professional		$15,733.91	$15,733.91	$23,695.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,527.54 / $3,791.30 / $8,382.87	Facility		$2,527.54	$3,791.30	$8,382.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,658.02 / $3,475.36 / $4,739.13	Professional		$1,658.02	$3,475.36	$4,739.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,339.59 / $6,255.65	Professional		$1,326.96	$1,339.59	$6,255.65