Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,341.25 / $22,091.60 / $60,728.00	Facility		$6,341.25	$22,091.60	$60,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,607.97 / $7,017.65 / $7,186.75	Professional		$4,607.97	$7,017.65	$7,186.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $42,359.55	Facility		$244.00	$614.00	$42,359.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $249.60 / $7,968.66	Professional		$208.00	$249.60	$7,968.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $11,160.60 / $76,348.64	Facility		$58.90	$11,160.60	$76,348.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,847.03 / $5,495.75 / $13,742.12	Professional		$3,847.03	$5,495.75	$13,742.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,578.19 / $14,179.04 / $28,303.11	Facility		$5,578.19	$14,179.04	$28,303.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,455.00 / $9,300.50 / $11,414.25	Professional		$8,455.00	$9,300.50	$11,414.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,609.50 / $9,723.25 / $16,149.05	Professional		$7,609.50	$9,723.25	$16,149.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,711.70 / $40,161.25 / $40,161.25	Facility		$14,711.70	$40,161.25	$40,161.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,105.90 / $42,105.90 / $63,412.50	Professional		$42,105.90	$42,105.90	$63,412.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,764.00 / $10,146.00 / $22,433.65	Facility		$6,764.00	$10,146.00	$22,433.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,455.00 / $9,300.50 / $12,682.50	Professional		$8,455.00	$9,300.50	$12,682.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,672.13 / $10,146.00	Professional		$1,543.50	$1,672.13	$10,146.00