Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $169,824.37	Facility		$28,840.32	$28,840.32	$169,824.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $25,703.96 / $151,356.12	Professional		$18,620.87	$25,703.96	$151,356.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $30,902.95	Facility		$5,370.32	$6,918.31	$30,902.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $53,703.18 / $53,703.18	Professional		$4,073.80	$53,703.18	$53,703.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57,543.99 / $60,255.96 / $102,329.30	Professional		$57,543.99	$60,255.96	$102,329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Professional		$30,902.95	$30,902.95	$30,902.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31,622.78 / $43,651.58 / $53,703.18	Professional		$31,622.78	$43,651.58	$53,703.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21,877.62 / $36,307.81 / $63,095.73	Professional		$21,877.62	$36,307.81	$63,095.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186,208.71 / $186,208.71 / $186,208.71	Facility		$186,208.71	$186,208.71	$186,208.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194,984.46 / $295,120.92 / $295,120.92	Professional		$194,984.46	$295,120.92	$295,120.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $39,810.72 / $52,480.75	Facility		$24,547.09	$39,810.72	$52,480.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $32,359.37 / $37,153.52	Professional		$32,359.37	$32,359.37	$37,153.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31,622.78 / $31,622.78 / $36,307.81	Professional		$31,622.78	$31,622.78	$36,307.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $19,952.62 / $44,668.36	Facility		$3,311.31	$19,952.62	$44,668.36
United Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $20,417.38 / $37,153.52	Professional		$16,595.87	$20,417.38	$37,153.52