Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,479.00 / $21,960.90	Facility		$2,197.85	$8,479.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,564.84 / $1,763.96 / $2,249.82	Professional		$1,564.84	$1,763.96	$2,249.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,324.00 / $18,150.00	Facility		$3,908.00	$9,324.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.89 / $3,369.86 / $5,052.84	Professional		$191.89	$3,369.86	$5,052.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,610.10	Facility		$66.09	$100.00	$7,610.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $730.09 / $2,840.95 / $6,901.32	Professional		$730.09	$2,840.95	$6,901.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,997.93 / $10,633.92 / $25,052.59	Facility		$8,997.93	$10,633.92	$25,052.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $9,986.23 / $9,986.23 / $10,485.54	Professional		$9,986.23	$9,986.23	$10,485.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.67 / $2,689.82 / $6,496.96	Professional		$732.67	$2,689.82	$6,496.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,271.04 / $40,399.35 / $40,399.35	Facility		$27,271.04	$40,399.35	$40,399.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,391.45 / $27,561.36 / $31,422.68	Professional		$16,391.45	$27,561.36	$31,422.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.24 / $2,260.14 / $6,063.88	Facility		$858.24	$2,260.14	$6,063.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.67 / $752.67 / $6,446.97	Professional		$732.67	$752.67	$6,446.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,651.00 / $29,571.00	Facility		$6,385.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.81 / $2,177.10 / $5,611.36	Professional		$1,486.81	$2,177.10	$5,611.36