Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $12,022.64 / $19,952.62	Facility		$4,073.80	$12,022.64	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,235.94	Professional		$1,905.46	$2,398.83	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $14,791.08 / $14,791.08	Facility		$7,413.10	$14,791.08	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $5,888.44	Professional		$1,174.90	$1,698.24	$5,888.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $6,760.83 / $28,183.83	Facility		$69.18	$6,760.83	$28,183.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,786.30	Professional		$1,698.24	$2,187.76	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $9,772.37	Facility		$1,949.84	$3,801.89	$9,772.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,235.94 / $3,981.07	Professional		$2,951.21	$3,235.94	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $5,128.61	Professional		$2,630.27	$3,235.94	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $21,877.62 / $21,877.62	Professional		$14,454.40	$21,877.62	$21,877.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $7,585.78	Facility		$2,238.72	$3,467.37	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,235.94 / $3,235.94	Professional		$2,951.21	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,951.21 / $2,951.21	Facility		$1,230.27	$2,951.21	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,623.41	Professional		$1,230.27	$1,230.27	$5,623.41