Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,214.59 / $10,729.10 / $25,974.30	Facility		$3,214.59	$10,729.10	$25,974.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $3,214.59 / $5,761.09	Professional		$2,517.44	$3,214.59	$5,761.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,956.68 / $19,093.89	Facility		$614.00	$6,956.68	$19,093.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,642.15 / $7,436.16	Professional		$1,549.20	$1,642.15	$7,436.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $5,112.35 / $34,740.81	Facility		$59.30	$5,112.35	$34,740.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,873.00 / $9,684.44	Professional		$2,711.10	$3,873.00	$9,684.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,593.54 / $5,198.53 / $12,675.36	Facility		$2,593.54	$5,198.53	$12,675.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.96 / $4,554.60 / $19,081.63	Professional		$1,980.96	$4,554.60	$19,081.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,260.30 / $5,228.55	Professional		$3,873.00	$4,260.30	$5,228.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,453.95 / $8,520.60	Professional		$3,485.70	$4,453.95	$8,520.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,739.02 / $18,396.75 / $18,396.75	Facility		$6,739.02	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,287.54 / $19,287.54 / $29,047.50	Professional		$19,287.54	$19,287.54	$29,047.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $4,647.60 / $10,147.62	Facility		$3,098.40	$4,647.60	$10,147.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,453.95 / $7,231.84	Professional		$3,873.00	$4,453.95	$7,231.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,950.46 / $6,584.10	Professional		$3,098.40	$3,950.46	$6,584.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,692.38 / $7,668.54	Professional		$1,626.66	$1,692.38	$7,668.54