Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,918.45 / $12,155.70 / $35,909.90	Facility		$3,918.45	$12,155.70	$35,909.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,847.41 / $4,336.42 / $4,440.91	Professional		$2,847.41	$4,336.42	$4,440.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $26,175.25	Facility		$244.00	$614.00	$26,175.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $2,294.40 / $8,568.34	Professional		$1,912.00	$2,294.40	$8,568.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $3,777.39 / $14,733.37	Facility		$92.60	$3,777.39	$14,733.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,377.19 / $3,395.99 / $8,491.67	Professional		$2,377.19	$3,395.99	$8,491.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,446.93 / $7,355.71 / $17,098.81	Facility		$3,446.93	$7,355.71	$17,098.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,747.06 / $7,053.21	Professional		$5,224.60	$5,747.06	$7,053.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $6,008.29 / $9,978.99	Professional		$4,702.14	$6,008.29	$9,978.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,090.79 / $24,816.85 / $24,816.85	Facility		$9,090.79	$24,816.85	$24,816.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,018.51 / $26,018.51 / $39,184.50	Professional		$26,018.51	$26,018.51	$39,184.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,179.68 / $6,269.52 / $13,862.43	Facility		$4,179.68	$6,269.52	$13,862.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,747.06 / $7,836.90	Professional		$5,224.60	$5,747.06	$7,836.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,194.33 / $5,224.60 / $5,224.60	Facility		$2,194.33	$5,224.60	$5,224.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,351.07 / $11,614.29	Professional		$2,194.33	$2,351.07	$11,614.29