Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,566.00 / $8,774.00 / $20,135.00	Facility		$3,566.00	$8,774.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,382.00 / $23,029.85 / $23,029.85	Professional		$5,382.00	$23,029.85	$23,029.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,324.00 / $18,150.00	Facility		$4,108.00	$9,324.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $8,596.17 / $33,528.64	Facility		$92.60	$8,596.17	$33,528.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,794.78 / $9,794.78 / $11,575.65	Facility		$9,794.78	$9,794.78	$11,575.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,870.60 / $10,870.60 / $11,414.13	Professional		$10,870.60	$10,870.60	$11,414.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,794.78 / $9,794.78 / $11,575.65	Facility		$9,794.78	$9,794.78	$11,575.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00