Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $21,379.62 / $34,673.69	Facility		$6,165.95	$21,379.62	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $5,495.41	Professional		$3,162.28	$4,265.80	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $26,302.68 / $26,302.68	Facility		$13,182.57	$26,302.68	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $10,715.19	Professional		$1,905.46	$2,754.23	$10,715.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $11,748.98 / $14,791.08	Facility		$3,801.89	$11,748.98	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $8,709.64	Professional		$3,090.30	$3,981.07	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,413.10 / $17,378.01	Facility		$3,548.13	$7,413.10	$17,378.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,754.40 / $7,079.46	Professional		$5,248.07	$5,754.40	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $9,120.11	Professional		$4,677.35	$5,754.40	$9,120.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Facility		$24,547.09	$24,547.09	$24,547.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $38,904.51 / $38,904.51	Professional		$26,302.68	$38,904.51	$38,904.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,309.57 / $13,489.63	Facility		$3,981.07	$6,309.57	$13,489.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,754.40 / $5,754.40	Professional		$5,248.07	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,248.07 / $5,248.07	Facility		$2,187.76	$5,248.07	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $10,000.00	Professional		$2,187.76	$2,187.76	$10,000.00