Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $21,379.62	Facility		$4,677.35	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $5,011.87	Professional		$1,621.81	$2,137.96	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $9,332.54	Professional		$1,230.27	$3,019.95	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,995.26	Professional		$776.25	$1,122.02	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $15,135.61	Professional		$14,125.38	$14,125.38	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,890.45	Professional		$1,905.46	$2,454.71	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility		$21,877.62	$21,877.62	$21,877.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $18,620.87 / $18,620.87	Professional		$15,488.17	$18,620.87	$18,620.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $4,365.16	Facility		$1,995.26	$2,630.27	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $10,232.93	Professional		$2,089.30	$2,238.72	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,786.30	Professional		$1,288.25	$2,089.30	$4,786.30