Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,970.19 / $18,794.20 / $47,522.70	Facility		$5,970.19	$18,794.20	$47,522.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,675.45 / $6,114.05 / $7,193.00	Professional		$4,675.45	$6,114.05	$7,193.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $12,920.07 / $35,461.49	Facility		$614.00	$12,920.07	$35,461.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $3,222.46 / $10,789.50	Professional		$2,877.20	$3,222.46	$10,789.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $9,494.76 / $64,521.21	Facility		$59.40	$9,494.76	$64,521.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,272.82 / $4,675.45 / $11,690.96	Professional		$3,272.82	$4,675.45	$11,690.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,745.58 / $12,062.66 / $24,078.57	Facility		$4,745.58	$12,062.66	$24,078.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,806.46 / $6,027.11 / $22,557.12	Professional		$3,806.46	$6,027.11	$22,557.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,912.30 / $9,710.54	Professional		$7,193.00	$7,912.30	$9,710.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,473.70 / $8,271.95 / $15,824.60	Professional		$6,473.70	$8,271.95	$15,824.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,515.82 / $34,166.75 / $34,166.75	Facility		$12,515.82	$34,166.75	$34,166.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35,821.14 / $35,821.14 / $53,947.50	Professional		$35,821.14	$35,821.14	$53,947.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,631.60 / $19,085.18	Facility		$5,754.40	$8,631.60	$19,085.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,991.27 / $8,271.95 / $19,716.50	Professional		$3,991.27	$8,271.95	$19,716.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $14,291.05	Professional		$3,021.06	$3,021.06	$14,291.05