Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,106.85 / $14,307.40 / $39,329.90	Facility		$4,106.85	$14,307.40	$39,329.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,984.31 / $4,544.91 / $4,654.43	Professional		$2,984.31	$4,544.91	$4,654.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $27,433.76	Facility		$244.00	$614.00	$27,433.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.85 / $2,043.42 / $8,980.31	Professional		$1,702.85	$2,043.42	$8,980.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,268.45 / $15,058.45	Facility		$97.00	$8,268.45	$15,058.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,491.48 / $3,559.27 / $8,899.95	Professional		$2,491.48	$3,559.27	$8,899.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,666.85 / $6,335.50 / $13,845.56	Facility		$3,666.85	$6,335.50	$13,845.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $6,023.38 / $7,392.33	Professional		$5,475.80	$6,023.38	$7,392.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,928.22 / $6,297.17 / $10,458.78	Professional		$4,928.22	$6,297.17	$10,458.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,527.89 / $26,010.05 / $26,010.05	Facility		$9,527.89	$26,010.05	$26,010.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,269.48 / $27,269.48 / $41,068.50	Professional		$27,269.48	$27,269.48	$41,068.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,380.64 / $6,570.96 / $12,219.33	Facility		$4,380.64	$6,570.96	$12,219.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $6,023.38 / $8,213.70	Professional		$5,475.80	$6,023.38	$8,213.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.84 / $2,299.84 / $10,519.01	Professional		$2,299.84	$2,299.84	$10,519.01