Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $16,218.10 / $26,915.35	Facility		$5,495.41	$16,218.10	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,168.69	Professional		$2,344.23	$3,162.28	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $9,120.11 / $19,498.45	Facility		$4,677.35	$9,120.11	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $9,120.11	Professional		$3,467.37	$4,570.88	$9,120.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $9,120.11 / $38,018.94	Facility		$69.18	$9,120.11	$38,018.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,888.44	Professional		$2,089.30	$2,691.53	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $12,022.64	Facility		$2,570.40	$5,011.87	$12,022.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $4,897.79	Professional		$3,630.78	$3,981.07	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,309.57	Professional		$3,235.94	$3,981.07	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $29,512.09 / $29,512.09	Professional		$19,498.45	$29,512.09	$29,512.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $9,120.11	Facility		$2,951.21	$4,265.80	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $4,265.80	Professional		$3,630.78	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,630.78	Professional		$2,884.03	$3,235.94	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $7,585.78	Professional		$1,659.59	$1,659.59	$7,585.78