Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $11,220.18 / $18,620.87	Facility		$3,801.89	$11,220.18	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,884.03	Professional		$1,621.81	$2,187.76	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $13,489.63 / $13,803.84	Facility		$6,760.83	$13,489.63	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $5,495.41	Professional		$33.11	$47.86	$5,495.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,165.95 / $7,585.78	Facility		$1,949.84	$6,165.95	$7,585.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,466.84	Professional		$1,584.89	$2,041.74	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $9,120.11	Facility		$1,862.09	$3,801.89	$9,120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,630.78	Professional		$2,691.53	$2,951.21	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $4,786.30	Professional		$2,454.71	$2,951.21	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $20,417.38 / $20,417.38	Professional		$13,489.63	$20,417.38	$20,417.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $7,079.46	Facility		$2,041.74	$3,235.94	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $2,951.21	Professional		$2,691.53	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,691.53 / $2,691.53	Facility		$1,148.15	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $5,248.07	Professional		$1,148.15	$1,148.15	$5,248.07