Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $7,628.45 / $20,970.00	Facility		$2,189.69	$7,628.45	$20,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.18 / $2,423.27 / $2,481.66	Professional		$1,591.18	$2,423.27	$2,481.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $14,627.20	Facility		$244.00	$614.00	$14,627.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $249.60 / $4,233.42	Professional		$208.00	$249.60	$4,233.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,328.42 / $1,897.74 / $4,745.30	Professional		$1,328.42	$1,897.74	$4,745.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,926.21 / $4,110.50 / $7,401.19	Facility		$1,926.21	$4,110.50	$7,401.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,211.56 / $3,941.46	Professional		$2,919.60	$3,211.56	$3,941.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,357.54 / $5,576.44	Professional		$2,627.64	$3,357.54	$5,576.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,080.10 / $13,868.10 / $13,868.10	Facility		$5,080.10	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,539.61 / $14,539.61 / $21,897.00	Professional		$14,539.61	$14,539.61	$21,897.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,073.50 / $3,503.52 / $6,503.41	Facility		$2,073.50	$3,503.52	$6,503.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,211.56 / $4,379.39	Professional		$2,919.60	$3,211.56	$4,379.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,275.78 / $7,512.13	Professional		$1,226.23	$1,275.78	$7,512.13