Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $14,791.08 / $24,547.09	Facility		$5,011.87	$14,791.08	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,890.45	Professional		$2,238.72	$2,951.21	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $18,197.01 / $18,197.01	Facility		$9,120.11	$18,197.01	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $3,019.95	Professional		$1,445.44	$1,737.80	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,762.47 / $10,232.93	Facility		$100.00	$7,762.47	$10,232.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $6,025.60	Professional		$2,089.30	$2,691.53	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $11,481.54	Facility		$2,398.83	$4,677.35	$11,481.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,370.32	Professional		$3,630.78	$3,981.07	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,309.57	Professional		$3,235.94	$3,981.07	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $26,915.35 / $26,915.35	Professional		$17,782.79	$26,915.35	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $8,128.31	Facility		$2,630.27	$4,365.16	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $3,981.07	Professional		$3,630.78	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $53,703.18	Professional		$2,884.03	$4,073.80	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $3,630.78	Facility		$1,513.56	$3,630.78	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $6,918.31	Professional		$1,513.56	$1,513.56	$6,918.31