Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,971.00 / $7,368.00 / $18,315.16	Facility		$2,971.00	$7,368.00	$18,315.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,263.00 / $8,598.23 / $17,701.00	Professional		$3,263.00	$8,598.23	$17,701.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,104.00 / $18,150.00	Facility		$4,108.00	$9,104.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.26 / $1,507.51 / $2,361.76	Professional		$1,256.26	$1,507.51	$2,361.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $2,261.53	Facility		$63.90	$100.00	$2,261.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,183.00 / $25,976.00 / $25,976.00	Facility		$18,183.00	$25,976.00	$25,976.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27,815.79 / $27,815.79 / $29,206.58	Professional		$27,815.79	$27,815.79	$29,206.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,731.00 / $17,033.14	Professional		$393.93	$4,731.00	$17,033.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $18,183.00 / $25,976.00 / $25,976.00	Facility		$18,183.00	$25,976.00	$25,976.00
United Facility/Professional Facility Modifier Low / Median / High Price $9,103.00 / $17,542.00 / $38,734.00	Facility		$9,103.00	$17,542.00	$38,734.00