Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,238.72 / $3,801.89	Facility		$741.31	$2,238.72	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,089.30 / $2,691.53	Professional		$457.09	$2,089.30	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $13,803.84 / $14,125.38	Facility		$6,918.31	$13,803.84	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $512.86	Professional		$208.93	$269.15	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $5,495.41	Professional		$1,621.81	$2,137.96	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,570.88 / $9,120.11	Facility		$1,819.70	$4,570.88	$9,120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $4,168.69	Professional		$2,754.23	$3,019.95	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,786.30	Professional		$2,454.71	$3,019.95	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $20,417.38	Professional		$13,803.84	$20,417.38	$20,417.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $7,244.36	Facility		$1,778.28	$3,311.31	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,981.07	Professional		$2,754.23	$3,019.95	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $41,686.94	Professional		$2,187.76	$3,090.30	$41,686.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $2,754.23	Facility		$1,148.15	$2,754.23	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $5,248.07	Professional		$1,148.15	$1,148.15	$5,248.07