Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,106.39 / $14,305.80 / $39,325.60	Facility		$4,106.39	$14,305.80	$39,325.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,983.98 / $4,544.42 / $4,653.92	Professional		$2,983.98	$4,544.42	$4,653.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $27,430.75	Facility		$244.00	$614.00	$27,430.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $79.44 / $8,979.32	Professional		$66.20	$79.44	$8,979.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $3,958.57 / $15,440.06	Facility		$92.60	$3,958.57	$15,440.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,491.21 / $3,558.88 / $8,898.98	Professional		$2,491.21	$3,558.88	$8,898.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,612.26 / $7,708.53 / $17,918.96	Facility		$3,612.26	$7,708.53	$17,918.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $6,022.72 / $7,391.52	Professional		$5,475.20	$6,022.72	$7,391.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $6,296.48 / $10,457.62	Professional		$4,927.68	$6,296.48	$10,457.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,526.85 / $26,007.20 / $26,007.20	Facility		$9,526.85	$26,007.20	$26,007.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,266.50 / $27,266.50 / $41,064.00	Professional		$27,266.50	$27,266.50	$41,064.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,380.16 / $6,570.24 / $14,527.35	Facility		$4,380.16	$6,570.24	$14,527.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $6,022.72 / $8,212.79	Professional		$5,475.20	$6,022.72	$8,212.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.58 / $2,299.58 / $10,988.73	Professional		$2,299.58	$2,299.58	$10,988.73