Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,709.64 / $14,125.38	Facility		$2,511.89	$8,709.64	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,951.21	Professional		$1,380.38	$1,778.28	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,715.19 / $10,715.19	Facility		$5,370.32	$10,715.19	$10,715.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $26.92	Professional		$13.18	$16.22	$26.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,548.13	Professional		$1,230.27	$1,584.89	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,079.46	Facility		$1,445.44	$2,884.03	$7,079.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,884.03	Professional		$2,137.96	$2,570.40	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,715.35	Professional		$1,905.46	$2,344.23	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $15,848.93 / $15,848.93	Professional		$10,471.29	$15,848.93	$15,848.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $5,495.41	Facility		$1,621.81	$2,570.40	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,344.23	Professional		$2,137.96	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $2,137.96	Facility		$891.25	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $4,073.80	Professional		$891.25	$891.25	$4,073.80