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 $215.20 / $215.20 / $413.79	Professional		$215.20	$215.20	$413.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $7,303.00 / $15,328.00	Facility		$3,113.00	$7,303.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.40 / $558.36 / $955.76	Professional		$417.40	$558.36	$955.76
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 $3,101.23 / $3,106.72 / $5,980.00	Facility		$3,101.23	$3,106.72	$5,980.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,214.06 / $2,214.06 / $2,324.76	Professional		$2,214.06	$2,214.06	$2,324.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $393.93 / $801.00	Professional		$90.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.59 / $8,957.00 / $8,957.00	Facility		$1,136.59	$8,957.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,419.98 / $2,571.67 / $2,619.44	Professional		$2,419.98	$2,571.67	$2,619.44
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 $308.45 / $390.01 / $511.63	Facility		$308.45	$390.01	$511.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $321.07 / $1,442.19	Professional		$309.89	$321.07	$1,442.19
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 $228.09 / $306.27 / $605.95	Professional		$228.09	$306.27	$605.95