Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,936.00 / $35,904.00 / $42,240.00	Facility		$15,936.00	$35,904.00	$42,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,917.56 / $15,936.00 / $16,320.00	Professional		$3,917.56	$15,936.00	$16,320.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,994.40 / $17,136.00 / $19,616.64	Facility		$13,994.40	$17,136.00	$19,616.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,385.81 / $16,320.00 / $34,598.40	Professional		$5,385.81	$16,320.00	$34,598.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $25,625.60 / $45,760.00	Facility		$97.00	$25,625.60	$45,760.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17,280.00 / $17,280.00 / $24,712.13	Professional		$17,280.00	$17,280.00	$24,712.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Facility		$16,320.00	$16,960.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $19,200.00	Professional		$16,320.00	$16,960.00	$19,200.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,960.00 / $16,960.00 / $20,352.00	Professional		$16,960.00	$16,960.00	$20,352.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,200.00 / $26,288.00 / $26,288.00	Facility		$19,200.00	$26,288.00	$26,288.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,809.06 / $16,320.00 / $16,960.00	Facility		$5,809.06	$16,320.00	$16,960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,704.32 / $16,320.00 / $19,200.00	Professional		$9,704.32	$16,320.00	$19,200.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16,960.00 / $22,048.00 / $28,832.00	Professional		$16,960.00	$22,048.00	$28,832.00
United Facility/Professional Professional Modifier Low / Median / High Price $13,793.36 / $19,200.00 / $27,127.10	Professional		$13,793.36	$19,200.00	$27,127.10