Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,912.51 / $15,135.61	Facility		$3,090.30	$8,912.51	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,187.76	Professional		$1,318.26	$1,778.28	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,964.78 / $11,220.18	Facility		$5,495.41	$10,964.78	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $4,466.84	Professional		$512.86	$741.31	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,011.87 / $6,165.95	Facility		$1,584.89	$5,011.87	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,630.78	Professional		$1,288.25	$1,659.59	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $7,413.10	Facility		$1,479.11	$2,884.03	$7,413.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $3,311.31	Professional		$2,187.76	$2,398.83	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,890.45	Professional		$1,995.26	$2,398.83	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $16,595.87	Professional		$10,964.78	$16,595.87	$16,595.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $5,754.40	Facility		$1,659.59	$2,630.27	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,398.83	Professional		$2,187.76	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $33,113.11	Professional		$1,778.28	$2,454.71	$33,113.11
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,187.76 / $2,187.76	Facility		$933.25	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $4,265.80	Professional		$933.25	$933.25	$4,265.80