Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $15,135.61 / $25,118.86	Facility		$5,128.61	$15,135.61	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $3,715.35	Professional		$2,290.87	$3,019.95	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $18,620.87 / $18,620.87	Facility		$9,332.54	$18,620.87	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $7,413.10	Professional		$1,513.56	$2,187.76	$7,413.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $8,511.38 / $35,481.34	Facility		$69.18	$8,511.38	$35,481.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $6,025.60	Professional		$2,137.96	$2,754.23	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $12,302.69	Facility		$2,398.83	$4,786.30	$12,302.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $5,011.87	Professional		$3,715.35	$4,073.80	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $6,456.54	Professional		$3,311.31	$4,073.80	$6,456.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $27,542.29 / $27,542.29	Professional		$18,197.01	$27,542.29	$27,542.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $9,549.93	Facility		$2,818.38	$4,365.16	$9,549.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,073.80	Professional		$3,715.35	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $3,715.35	Facility		$1,548.82	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $7,079.46	Professional		$1,548.82	$1,548.82	$7,079.46