Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,882.50 / $23,988.33	Facility		$5,370.32	$12,882.50	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $23,988.33	Professional		$2,344.23	$3,235.94	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $8,317.64 / $18,197.01	Facility		$1,659.59	$8,317.64	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $6,918.31	Professional		$1,445.44	$2,187.76	$6,918.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $8,317.64 / $34,673.69	Facility		$69.18	$8,317.64	$34,673.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $7,079.46	Professional		$2,089.30	$2,754.23	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,025.60 / $12,022.64	Facility		$2,398.83	$6,025.60	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $8,511.38	Professional		$1,905.46	$2,511.89	$8,511.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,897.79	Professional		$2,884.03	$3,630.78	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,309.57	Professional		$3,235.94	$3,981.07	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $26,915.35 / $26,915.35	Professional		$17,782.79	$26,915.35	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $9,332.54	Facility		$2,754.23	$4,365.16	$9,332.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $7,585.78	Professional		$1,905.46	$3,801.89	$7,585.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $43,651.58	Professional		$2,884.03	$3,630.78	$43,651.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $3,630.78	Facility		$1,513.56	$3,630.78	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $6,918.31	Professional		$1,513.56	$1,513.56	$6,918.31