Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,214.59 / $10,119.50 / $25,588.10	Facility		$3,214.59	$10,119.50	$25,588.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,650.00 / $3,873.00	Professional		$2,904.75	$3,650.00	$3,873.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $876.00 / $19,403.73	Facility		$260.00	$876.00	$19,403.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,936.50 / $4,066.65 / $8,324.70	Professional		$1,936.50	$4,066.65	$8,324.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,762.22 / $2,517.44 / $6,294.88	Professional		$1,762.22	$2,517.44	$6,294.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,555.21 / $6,495.02 / $12,964.87	Facility		$2,555.21	$6,495.02	$12,964.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $3,386.42 / $7,481.73	Professional		$2,062.44	$3,386.42	$7,481.73
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 / $7,790.00	Professional		$3,485.70	$4,453.95	$7,790.00
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 / $10,276.23	Facility		$3,098.40	$4,647.60	$10,276.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,020.82 / $4,260.30 / $7,481.73	Professional		$3,020.82	$4,260.30	$7,481.73
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 / $1,749.47 / $7,773.11	Professional		$1,626.66	$1,749.47	$7,773.11