Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $4,365.16	Professional		$1,621.81	$1,819.70	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $165.96 / $331.13	Professional		$33.88	$165.96	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,630.27 / $10,471.29	Facility		$63.10	$2,630.27	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,165.95	Professional		$5,888.44	$5,888.44	$6,165.95
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 $22,387.21 / $22,387.21 / $22,387.21	Facility		$22,387.21	$22,387.21	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $4,365.16	Facility		$1,621.81	$1,819.70	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61