Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,244.36 / $12,022.64	Facility		$2,454.71	$7,244.36	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,862.09	Professional		$1,148.15	$1,445.44	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $8,912.51	Facility		$4,897.79	$8,709.64	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $2,137.96	Professional		$338.84	$562.34	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $4,073.80 / $16,982.44	Facility		$69.18	$4,073.80	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,801.89	Professional		$1,148.15	$1,513.56	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,162.28 / $6,456.54	Facility		$1,202.26	$3,162.28	$6,456.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,630.27	Professional		$1,949.84	$2,344.23	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,388.44	Professional		$1,737.80	$2,137.96	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $14,791.08	Professional		$9,772.37	$14,791.08	$14,791.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $4,897.79	Facility		$1,380.38	$2,344.23	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,691.53	Professional		$1,949.84	$1,949.84	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $1,949.84	Facility		$812.83	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $3,388.44	Professional		$741.31	$794.33	$3,388.44