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 / $10,895.24 / $12,117.00	Professional		$5,382.00	$10,895.24	$12,117.00
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 $66.09 / $100.00 / $13,718.66	Facility		$66.09	$100.00	$13,718.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,568.32 / $9,568.32 / $11,308.02	Facility		$9,568.32	$9,568.32	$11,308.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,619.27 / $10,619.27 / $11,150.23	Professional		$10,619.27	$10,619.27	$11,150.23
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 $9,568.32 / $9,568.32 / $11,308.02	Facility		$9,568.32	$9,568.32	$11,308.02
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