Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,641.00 / $8,917.00 / $20,276.89	Facility		$3,641.00	$8,917.00	$20,276.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,382.00 / $15,443.64 / $15,443.64	Professional		$5,382.00	$15,443.64	$15,443.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,596.00 / $18,150.00	Facility		$4,108.00	$9,596.00	$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 / $13,744.43 / $53,608.98	Facility		$92.60	$13,744.43	$53,608.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,787.71 / $15,787.71 / $18,658.21	Facility		$15,787.71	$15,787.71	$18,658.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,937.73 / $9,937.73 / $9,937.73	Professional		$9,937.73	$9,937.73	$9,937.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17,521.77 / $17,521.77 / $18,397.86	Professional		$17,521.77	$17,521.77	$18,397.86
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 $15,787.71 / $15,787.71 / $18,658.21	Facility		$15,787.71	$15,787.71	$18,658.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,937.73 / $9,937.73 / $9,937.73	Professional		$9,937.73	$9,937.73	$9,937.73
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00