Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $9,674.00 / $20,509.00	Facility		$215.20	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $215.20 / $309.98	Professional		$175.88	$215.20	$309.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $5,977.00 / $13,012.00	Facility		$2,424.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $708.22 / $1,208.09	Professional		$331.90	$708.22	$1,208.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,823.78 / $8,642.77	Facility		$97.00	$3,823.78	$8,642.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $45.00 / $100.00	Professional		$31.50	$45.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $5,980.00	Facility		$253.20	$253.65	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.18 / $416.18 / $498.63	Professional		$416.18	$416.18	$498.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $180.77 / $189.81	Professional		$180.77	$180.77	$189.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $18.79 / $33.24	Professional		$14.25	$18.79	$33.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $241.46 / $6,384.05 / $6,384.05	Facility		$241.46	$6,384.05	$6,384.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.34 / $1,299.34 / $1,333.84	Professional		$1,299.34	$1,299.34	$1,333.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $19.64 / $218.17	Facility		$16.62	$19.64	$218.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $18.79 / $25.41	Professional		$13.42	$18.79	$25.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $291.30 / $564.92	Professional		$213.30	$291.30	$564.92