Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,079.46 / $12,022.64	Facility		$2,398.83	$7,079.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,737.80	Professional		$1,047.13	$1,412.54	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,709.64 / $8,912.51	Facility		$4,365.16	$8,709.64	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,862.09	Professional		$870.96	$1,096.48	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,884.03	Professional		$1,023.29	$1,318.26	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $5,754.40	Facility		$1,174.90	$2,344.23	$5,754.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,344.23	Professional		$1,737.80	$2,089.30	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,019.95	Professional		$1,548.82	$1,905.46	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $4,570.88	Facility		$1,318.26	$2,089.30	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $1,905.46	Professional		$1,737.80	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $1,737.80	Facility		$724.44	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $3,311.31	Professional		$724.44	$724.44	$3,311.31