Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,480.40 / $9,584.27 / $19,570.40	Facility		$2,480.40	$9,584.27	$19,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $2,480.40 / $7,776.00	Professional		$2,480.40	$2,480.40	$7,776.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.29 / $13,967.25 / $38,335.68	Facility		$359.29	$13,967.25	$38,335.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $319.13 / $548.41	Professional		$309.83	$319.13	$548.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,538.08 / $5,054.39 / $12,638.53	Professional		$3,538.08	$5,054.39	$12,638.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,130.22 / $13,040.35 / $26,030.16	Facility		$5,130.22	$13,040.35	$26,030.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,140.72 / $6,799.42 / $15,020.76	Professional		$4,140.72	$6,799.42	$15,020.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $8,553.60 / $10,497.60	Professional		$7,776.00	$8,553.60	$10,497.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,998.40 / $8,942.40 / $15,163.20	Professional		$6,998.40	$8,942.40	$15,163.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,530.24 / $36,936.00 / $36,936.00	Facility		$13,530.24	$36,936.00	$36,936.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,724.48 / $38,724.48 / $58,320.00	Professional		$38,724.48	$38,724.48	$58,320.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,054.39 / $9,331.20 / $20,632.06	Facility		$5,054.39	$9,331.20	$20,632.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,065.36 / $8,827.42 / $15,020.76	Professional		$6,065.36	$8,827.42	$15,020.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,220.80 / $7,931.52 / $13,219.20	Professional		$6,220.80	$7,931.52	$13,219.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $3,265.92 / $15,449.36	Professional		$3,265.92	$3,265.92	$15,449.36