Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $21,379.62 / $41,686.94	Facility		$4,365.16	$21,379.62	$41,686.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $5,248.07	Professional		$4,265.80	$4,365.16	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $4,677.35 / $6,760.83	Facility		$0.03	$4,677.35	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $8,511.38	Professional		$2,089.30	$4,466.84	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,888.44	Professional		$2,089.30	$2,884.03	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $2,238.72	Professional		$831.76	$912.01	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,481.54 / $11,481.54	Professional		$10,232.93	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $8,912.51	Facility		$1,905.46	$4,897.79	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,801.89	Professional		$2,238.72	$2,951.21	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $3,548.13	Facility		$1,737.80	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $9,772.37	Professional		$5,248.07	$5,248.07	$9,772.37