Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $27,542.29 / $46,773.51	Facility		$9,332.54	$27,542.29	$46,773.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $7,079.46	Professional		$4,073.80	$5,495.41	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $33,884.42 / $33,884.42	Facility		$16,982.44	$33,884.42	$33,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $13,803.84	Professional		$426.58	$616.60	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $14,454.40 / $19,054.61	Facility		$100.00	$14,454.40	$19,054.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,128.61 / $11,220.18	Professional		$3,981.07	$5,128.61	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,709.64 / $21,877.62	Facility		$4,466.84	$8,709.64	$21,877.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,413.10 / $9,120.11	Professional		$6,760.83	$7,413.10	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,413.10 / $11,748.98	Professional		$6,025.60	$7,413.10	$11,748.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $32,359.37 / $32,359.37	Facility		$32,359.37	$32,359.37	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,884.42 / $50,118.72 / $50,118.72	Professional		$33,884.42	$50,118.72	$50,118.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,128.31 / $15,488.17	Facility		$4,897.79	$8,128.31	$15,488.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,413.10 / $7,413.10	Professional		$6,760.83	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,760.83 / $6,760.83	Facility		$2,818.38	$6,760.83	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $12,882.50	Professional		$2,818.38	$2,818.38	$12,882.50