Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,943.28 / $13,489.63	Facility		$2,691.53	$7,943.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,089.30	Professional		$1,174.90	$1,584.89	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,772.37 / $9,772.37	Facility		$4,897.79	$9,772.37	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,981.07	Professional		$1,148.15	$1,659.59	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $5,495.41	Facility		$1,412.54	$4,365.16	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,235.94	Professional		$1,148.15	$1,479.11	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,691.53 / $6,456.54	Facility		$1,318.26	$2,691.53	$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 / $14,454.40 / $14,454.40	Professional		$9,772.37	$14,454.40	$14,454.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $5,011.87	Facility		$1,479.11	$2,344.23	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,137.96	Professional		$1,949.84	$2,137.96	$2,137.96
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 $812.83 / $812.83 / $3,715.35	Professional		$812.83	$812.83	$3,715.35