Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $22,387.21 / $38,018.94	Facility		$7,585.78	$22,387.21	$38,018.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $5,370.32	Professional		$3,311.31	$4,365.16	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $27,542.29 / $27,542.29	Facility		$13,803.84	$27,542.29	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $11,220.18	Professional		$66.07	$95.50	$11,220.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $12,302.69 / $15,488.17	Facility		$3,981.07	$12,302.69	$15,488.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $9,120.11	Professional		$3,235.94	$4,168.69	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,762.47 / $18,197.01	Facility		$3,715.35	$7,762.47	$18,197.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $7,413.10	Professional		$5,495.41	$6,025.60	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,025.60 / $9,549.93	Professional		$4,897.79	$6,025.60	$9,549.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $40,738.03 / $40,738.03	Professional		$27,542.29	$40,738.03	$40,738.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,606.93 / $14,454.40	Facility		$4,168.69	$6,606.93	$14,454.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $6,025.60	Professional		$5,495.41	$6,025.60	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,495.41 / $5,495.41	Facility		$2,290.87	$5,495.41	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $10,471.29	Professional		$2,290.87	$2,290.87	$10,471.29