Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,908.84 / $10,133.79 / $27,857.00	Facility		$2,908.84	$10,133.79	$27,857.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,113.76 / $3,219.12 / $3,296.69	Professional		$2,113.76	$3,219.12	$3,296.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $19,431.03	Facility		$244.00	$614.00	$19,431.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $286.99 / $5,623.75	Professional		$239.16	$286.99	$5,623.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $5,972.81 / $10,665.74	Facility		$98.20	$5,972.81	$10,665.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,764.69 / $2,520.98 / $6,303.74	Professional		$1,764.69	$2,520.98	$6,303.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,558.80 / $5,460.46 / $9,831.86	Facility		$2,558.80	$5,460.46	$9,831.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $4,266.30 / $5,235.91	Professional		$3,878.45	$4,266.30	$5,235.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,490.61 / $4,460.22 / $7,407.84	Professional		$3,490.61	$4,460.22	$7,407.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,748.50 / $18,422.64 / $18,422.64	Facility		$6,748.50	$18,422.64	$18,422.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,314.68 / $19,314.68 / $29,088.38	Professional		$19,314.68	$19,314.68	$29,088.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.47 / $4,654.14 / $8,639.25	Facility		$2,754.47	$4,654.14	$8,639.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $4,266.30 / $5,817.68	Professional		$3,878.45	$4,266.30	$5,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.95 / $1,644.46 / $8,600.08	Professional		$1,628.95	$1,644.46	$8,600.08