Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Facility		$16,218.10	$16,218.10	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,218.10 / $19,498.45	Professional		$15,488.17	$16,218.10	$19,498.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $18,620.87 / $25,118.86	Facility		$7,585.78	$18,620.87	$25,118.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $16,595.87 / $30,902.95	Professional		$11,748.98	$16,595.87	$30,902.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $20,892.96 / $53,703.18	Facility		$100.00	$20,892.96	$53,703.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,466.84	Professional		$1,621.81	$2,187.76	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Professional		$16,595.87	$16,595.87	$16,595.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $18,620.87 / $20,417.38	Professional		$16,218.10	$18,620.87	$20,417.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $18,620.87 / $25,703.96	Professional		$16,595.87	$18,620.87	$25,703.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58,884.37 / $58,884.37 / $58,884.37	Facility		$58,884.37	$58,884.37	$58,884.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87,096.36 / $87,096.36 / $87,096.36	Professional		$87,096.36	$87,096.36	$87,096.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $17,378.01 / $33,113.11	Facility		$5,248.07	$17,378.01	$33,113.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Professional		$16,595.87	$16,595.87	$16,595.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $21,379.62 / $27,542.29	Professional		$16,218.10	$21,379.62	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $54,954.09 / $54,954.09	Facility		$3,162.28	$54,954.09	$54,954.09
United Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $31,622.78	Professional		$16,218.10	$16,218.10	$31,622.78