Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $23,442.29	Facility		$3,715.35	$9,549.93	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $4,073.80	Professional		$1,258.93	$1,737.80	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $3,019.95 / $5,011.87	Professional		$851.14	$3,019.95	$5,011.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $933.25 / $15,848.93	Facility		$64.57	$933.25	$15,848.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,884.03 / $7,585.78	Professional		$758.58	$2,884.03	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $10,715.19	Facility		$8,912.51	$8,912.51	$10,715.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,964.78	Professional		$10,471.29	$10,471.29	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,659.59 / $5,754.40	Professional		$724.44	$1,659.59	$5,754.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $31,622.78 / $31,622.78	Professional		$27,542.29	$31,622.78	$31,622.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,290.87 / $6,025.60	Facility		$870.96	$2,290.87	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $6,456.54	Professional		$707.95	$758.58	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $5,623.41	Professional		$1,479.11	$2,290.87	$5,623.41