Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $23,988.33	Facility		$4,786.30	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $5,888.44 / $15,848.93	Professional		$933.25	$5,888.44	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,454.71 / $10,232.93	Professional		$776.25	$2,454.71	$10,232.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $7,413.10 / $23,442.29	Facility		$63.10	$7,413.10	$23,442.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,023.29 / $18,197.01	Professional		$60.26	$1,023.29	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $17,378.01	Facility		$14,454.40	$14,454.40	$17,378.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,952.62	Professional		$19,054.61	$19,054.61	$19,952.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $7,079.46 / $17,782.79	Professional		$758.58	$7,079.46	$17,782.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $87,096.36 / $87,096.36	Facility		$87,096.36	$87,096.36	$87,096.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $79,432.82 / $95,499.26 / $95,499.26	Professional		$79,432.82	$95,499.26	$95,499.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,754.40 / $19,498.45	Facility		$891.25	$5,754.40	$19,498.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $776.25	Professional		$741.31	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $6,309.57	Professional		$602.56	$954.99	$6,309.57