Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $9,332.54 / $15,488.17	Facility		$3,162.28	$9,332.54	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,187.76	Professional		$1,380.38	$1,819.70	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $11,481.54 / $11,481.54	Facility		$5,754.40	$11,481.54	$11,481.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,754.23	Professional		$794.33	$1,202.26	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $5,370.32 / $21,877.62	Facility		$69.18	$5,370.32	$21,877.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $4,466.84	Professional		$1,318.26	$1,737.80	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,801.89 / $8,128.31	Facility		$1,513.56	$3,801.89	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,090.30	Professional		$1,819.70	$2,290.87	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,981.07	Professional		$2,041.74	$2,511.89	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $16,982.44	Professional		$11,220.18	$16,982.44	$16,982.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $5,888.44	Facility		$1,737.80	$2,754.23	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,311.31	Professional		$2,290.87	$2,511.89	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $27,542.29	Professional		$1,819.70	$2,290.87	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,290.87 / $2,290.87	Facility		$954.99	$2,290.87	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $4,365.16	Professional		$954.99	$954.99	$4,365.16