Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.99 / $6,727.15 / $18,492.40	Facility		$1,930.99	$6,727.15	$18,492.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.18 / $2,136.96 / $2,188.44	Professional		$1,403.18	$2,136.96	$2,188.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $12,899.00	Facility		$244.00	$614.00	$12,899.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $5,520.00 / $9,024.00	Professional		$4,800.00	$5,520.00	$9,024.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,861.47 / $7,260.51	Facility		$92.60	$1,861.47	$7,260.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,171.46 / $1,673.52 / $4,184.64	Professional		$1,171.46	$1,673.52	$4,184.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.62 / $3,624.84 / $8,426.17	Facility		$1,698.62	$3,624.84	$8,426.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,832.12 / $3,475.78	Professional		$2,574.65	$2,832.12	$3,475.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $2,960.85 / $4,917.58	Professional		$2,317.19	$2,960.85	$4,917.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,479.89 / $12,229.59 / $12,229.59	Facility		$4,479.89	$12,229.59	$12,229.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,821.76 / $12,821.76 / $19,309.88	Professional		$12,821.76	$12,821.76	$19,309.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,091.90 / $3,089.58 / $6,831.31	Facility		$2,091.90	$3,089.58	$6,831.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,832.12 / $3,861.98	Professional		$2,574.65	$2,832.12	$3,861.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,125.04 / $5,684.83	Professional		$1,081.34	$1,125.04	$5,684.83