Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,538.00	Facility		$1,919.00	$6,342.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.42 / $1,241.61 / $1,295.50	Professional		$1,112.42	$1,241.61	$1,295.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,362.00 / $15,399.00	Facility		$3,242.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $42.60 / $58.73	Professional		$38.34	$42.60	$58.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,423.18	Facility		$66.90	$100.00	$6,423.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,535.41 / $3,535.41 / $3,712.18	Professional		$3,535.41	$3,535.41	$3,712.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,988.41 / $14,302.50 / $14,302.50	Facility		$2,988.41	$14,302.50	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,522.79 / $9,522.79 / $9,522.79	Professional		$9,522.79	$9,522.79	$9,522.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.83 / $1,699.06 / $2,209.96	Facility		$1,258.83	$1,699.06	$2,209.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,349.93 / $1,349.93 / $1,398.70	Professional		$1,349.93	$1,349.93	$1,398.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.01 / $1,771.01 / $4,031.23	Professional		$1,127.01	$1,771.01	$4,031.23