Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $6,924.03 / $19,033.59	Facility		$1,987.50	$6,924.03	$19,033.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.25 / $2,199.50 / $2,252.50	Professional		$1,444.25	$2,199.50	$2,252.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $13,276.50	Facility		$244.00	$614.00	$13,276.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $249.60 / $3,842.50	Professional		$208.00	$249.60	$3,842.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $4,081.00 / $7,287.50	Facility		$98.20	$4,081.00	$7,287.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,205.75 / $1,722.50 / $4,307.10	Professional		$1,205.75	$1,722.50	$4,307.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.34 / $3,730.94 / $6,717.75	Facility		$1,748.34	$3,730.94	$6,717.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,915.00 / $3,577.50	Professional		$2,650.00	$2,915.00	$3,577.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,385.00 / $3,047.50 / $5,061.50	Professional		$2,385.00	$3,047.50	$5,061.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,611.00 / $12,587.50 / $12,587.50	Facility		$4,611.00	$12,587.50	$12,587.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,197.00 / $13,197.00 / $19,875.00	Professional		$13,197.00	$13,197.00	$19,875.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,882.03 / $3,180.00 / $5,902.88	Facility		$1,882.03	$3,180.00	$5,902.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,915.00 / $3,975.00	Professional		$2,650.00	$2,915.00	$3,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $5,318.55	Professional		$1,113.00	$1,113.00	$5,318.55