Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $10,119.50 / $27,817.80	Facility		$2,904.75	$10,119.50	$27,817.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,110.79 / $3,214.59 / $3,292.05	Professional		$2,110.79	$3,214.59	$3,292.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $19,403.73	Facility		$244.00	$614.00	$19,403.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,309.17 / $2,158.98	Professional		$1,148.40	$1,309.17	$2,158.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,848.23 / $10,650.75	Facility		$97.00	$5,848.23	$10,650.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,762.22 / $2,517.44 / $6,294.88	Professional		$1,762.22	$2,517.44	$6,294.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,593.54 / $4,481.06 / $9,792.87	Facility		$2,593.54	$4,481.06	$9,792.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,260.30 / $5,228.55	Professional		$3,873.00	$4,260.30	$5,228.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,453.95 / $7,397.43	Professional		$3,485.70	$4,453.95	$7,397.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,739.02 / $18,396.75 / $18,396.75	Facility		$6,739.02	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,287.54 / $19,287.54 / $29,047.50	Professional		$19,287.54	$19,287.54	$29,047.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $4,647.60 / $8,642.66	Facility		$3,098.40	$4,647.60	$8,642.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,260.30 / $5,809.50	Professional		$3,873.00	$4,260.30	$5,809.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $8,393.18	Professional		$1,626.66	$1,626.66	$8,393.18