Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,471.29 / $17,782.79	Facility		$3,548.13	$10,471.29	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Professional		$1,584.89	$2,089.30	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,882.50 / $13,182.57	Facility		$6,456.54	$12,882.50	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $9,332.54	Professional		$3,981.07	$5,754.40	$9,332.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,754.40 / $7,244.36	Facility		$1,862.09	$5,754.40	$7,244.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $4,265.80	Professional		$1,513.56	$1,949.84	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $8,709.64	Facility		$1,737.80	$3,630.78	$8,709.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,467.37	Professional		$2,570.40	$2,818.38	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $4,466.84	Professional		$2,290.87	$2,818.38	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $19,498.45	Professional		$12,882.50	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $6,760.83	Facility		$1,949.84	$3,090.30	$6,760.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $2,818.38	Professional		$2,570.40	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $2,570.40	Facility		$1,071.52	$2,570.40	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $4,897.79	Professional		$1,071.52	$1,071.52	$4,897.79