Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $14,454.40 / $23,988.33	Facility		$4,897.79	$14,454.40	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,981.07	Professional		$2,290.87	$2,951.21	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $17,378.01 / $17,782.79	Facility		$8,912.51	$17,378.01	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,691.53 / $7,079.46	Professional		$245.47	$2,691.53	$7,079.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $8,128.31 / $33,884.42	Facility		$69.18	$8,128.31	$33,884.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $6,918.31	Professional		$2,041.74	$2,691.53	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,888.44 / $11,748.98	Facility		$2,344.23	$5,888.44	$11,748.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $5,248.07	Professional		$3,467.37	$3,890.45	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $6,165.95	Professional		$3,162.28	$3,890.45	$6,165.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $26,302.68	Professional		$17,378.01	$26,302.68	$26,302.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $9,120.11	Facility		$2,691.53	$4,168.69	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $5,011.87	Professional		$3,467.37	$3,890.45	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $52,480.75	Professional		$2,818.38	$3,890.45	$52,480.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,467.37 / $3,467.37	Facility		$1,479.11	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $6,760.83	Professional		$1,479.11	$1,479.11	$6,760.83