Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $12,882.50 / $21,877.62	Facility		$4,365.16	$12,882.50	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,311.31	Professional		$1,905.46	$2,570.40	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $15,848.93 / $16,218.10	Facility		$7,943.28	$15,848.93	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $6,456.54	Professional		$501.19	$724.44	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,760.83 / $8,912.51	Facility		$100.00	$6,760.83	$8,912.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $5,248.07	Professional		$1,862.09	$2,398.83	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $10,232.93	Facility		$2,137.96	$4,073.80	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,265.80	Professional		$3,162.28	$3,467.37	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $5,495.41	Professional		$2,818.38	$3,467.37	$5,495.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $23,442.29 / $23,442.29	Professional		$15,848.93	$23,442.29	$23,442.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $7,244.36	Facility		$2,290.87	$3,801.89	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $3,467.37	Professional		$3,162.28	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $3,162.28	Facility		$1,318.26	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $6,025.60	Professional		$1,318.26	$1,318.26	$6,025.60