Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $20,417.38 / $34,673.69	Facility		$6,918.31	$20,417.38	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $5,248.07	Professional		$3,311.31	$4,265.80	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $25,118.86	Facility		$6,456.54	$12,302.69	$25,118.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $10,232.93	Professional		$2,089.30	$3,801.89	$10,232.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $11,748.98 / $47,863.01	Facility		$69.18	$11,748.98	$47,863.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $10,000.00	Professional		$2,951.21	$3,890.45	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,317.64 / $17,782.79	Facility		$3,311.31	$8,317.64	$17,782.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $7,585.78	Professional		$5,011.87	$5,495.41	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $8,709.64	Professional		$4,466.84	$5,495.41	$8,709.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $37,153.52 / $37,153.52	Professional		$25,118.86	$37,153.52	$37,153.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,025.60 / $13,182.57	Facility		$3,801.89	$6,025.60	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $7,244.36	Professional		$5,011.87	$5,495.41	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,623.41 / $75,857.76	Professional		$3,981.07	$5,623.41	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $5,011.87	Facility		$2,089.30	$5,011.87	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $9,549.93	Professional		$2,089.30	$2,089.30	$9,549.93