Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,054.50 / $17,608.80 / $48,405.20	Facility		$5,054.50	$17,608.80	$48,405.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,672.93 / $5,593.64 / $5,728.43	Professional		$3,672.93	$5,593.64	$5,728.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $33,764.04	Facility		$244.00	$614.00	$33,764.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $512.25 / $11,052.50	Professional		$426.88	$512.25	$11,052.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $10,176.39 / $18,533.16	Facility		$97.00	$10,176.39	$18,533.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,066.39 / $4,380.56 / $10,953.59	Professional		$3,066.39	$4,380.56	$10,953.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,512.96 / $7,797.40 / $17,040.38	Facility		$4,512.96	$7,797.40	$17,040.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,739.33 / $7,413.26 / $9,098.10	Professional		$6,739.33	$7,413.26	$9,098.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,065.40 / $7,750.23 / $12,872.12	Professional		$6,065.40	$7,750.23	$12,872.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,726.43 / $32,011.82 / $32,011.82	Facility		$11,726.43	$32,011.82	$32,011.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,561.86 / $33,561.86 / $50,544.98	Professional		$33,561.86	$33,561.86	$50,544.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,391.46 / $8,087.20 / $15,038.90	Facility		$5,391.46	$8,087.20	$15,038.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,739.33 / $7,413.26 / $10,109.00	Professional		$6,739.33	$7,413.26	$10,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,830.52 / $2,830.52 / $13,525.84	Professional		$2,830.52	$2,830.52	$13,525.84