Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,244.36 / $12,022.64	Facility		$2,454.71	$7,244.36	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,949.84	Professional		$1,148.15	$1,445.44	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,709.64 / $8,912.51	Facility		$4,466.84	$8,709.64	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $3,630.78	Professional		$426.58	$575.44	$3,630.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,884.03	Professional		$1,023.29	$1,318.26	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $5,888.44	Facility		$1,202.26	$2,511.89	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Professional		$1,737.80	$1,949.84	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,090.30	Professional		$1,584.89	$1,949.84	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,981.07	Facility		$1,318.26	$2,089.30	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $1,949.84	Professional		$1,737.80	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $1,737.80	Facility		$741.31	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $3,388.44	Professional		$741.31	$741.31	$3,388.44