Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $13,182.57 / $21,877.62	Facility		$4,466.84	$13,182.57	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,388.44	Professional		$1,905.46	$2,570.40	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $15,848.93 / $16,218.10	Facility		$8,128.31	$15,848.93	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.96 / $6,456.54	Professional		$7.41	$10.96	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,918.31 / $9,120.11	Facility		$100.00	$6,918.31	$9,120.11
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 / $4,168.69 / $10,232.93	Facility		$2,137.96	$4,168.69	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $4,365.16	Professional		$3,235.94	$3,548.13	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $5,623.41	Professional		$2,884.03	$3,548.13	$5,623.41
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 / $23,988.33 / $23,988.33	Professional		$15,848.93	$23,988.33	$23,988.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $7,244.36	Facility		$2,344.23	$3,801.89	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $3,548.13	Professional		$3,235.94	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $3,235.94	Facility		$1,348.96	$3,235.94	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $6,165.95	Professional		$1,348.96	$1,348.96	$6,165.95