Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,471.29 / $21,379.62	Facility		$4,265.80	$10,471.29	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $11,220.18 / $18,620.87	Professional		$4,786.30	$11,220.18	$18,620.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $331.13	Professional		$295.12	$316.23	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $12,022.64 / $14,791.08	Facility		$3,801.89	$12,022.64	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,168.69	Facility		$3,548.13	$3,548.13	$4,168.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,311.31	Professional		$3,162.28	$3,162.28	$3,311.31
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 $15,848.93 / $15,848.93 / $15,848.93	Facility		$15,848.93	$15,848.93	$15,848.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $11,220.18 / $23,442.29	Facility		$4,168.69	$11,220.18	$23,442.29
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