Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $14,454.40 / $23,988.33	Facility		$4,897.79	$14,454.40	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,715.35	Professional		$2,089.30	$2,818.38	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $17,378.01 / $17,782.79	Facility		$8,709.64	$17,378.01	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $4,897.79	Professional		$199.53	$199.53	$4,897.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $9,772.37	Facility		$2,511.89	$7,943.28	$9,772.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $5,754.40	Professional		$2,041.74	$2,630.27	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $11,748.98	Facility		$2,344.23	$4,570.88	$11,748.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,677.35	Professional		$3,467.37	$4,168.69	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $6,165.95	Professional		$3,162.28	$3,801.89	$6,165.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $26,302.68	Professional		$17,378.01	$26,302.68	$26,302.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $9,120.11	Facility		$2,630.27	$4,168.69	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $3,801.89	Professional		$3,467.37	$3,801.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,467.37 / $3,467.37	Facility		$1,479.11	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $6,760.83	Professional		$1,479.11	$1,479.11	$6,760.83