Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,925.47 / $9,674.00 / $20,509.00	Facility		$2,925.47	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.32 / $2,925.47 / $2,925.47	Professional		$1,762.32	$2,925.47	$2,925.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,324.00 / $17,774.00	Facility		$3,908.00	$9,324.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.28 / $1,522.75 / $5,122.00	Professional		$582.28	$1,522.75	$5,122.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $5,509.60	Facility		$66.90	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $270.00 / $555.04	Professional		$189.00	$270.00	$555.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $9,013.71 / $16,143.97	Facility		$4,445.00	$9,013.71	$16,143.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.55 / $2,361.55 / $2,829.40	Professional		$2,361.55	$2,361.55	$2,829.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,435.16 / $6,435.16 / $6,756.92	Professional		$6,435.16	$6,435.16	$6,756.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.83 / $2,349.71 / $3,716.95	Professional		$1,722.83	$2,349.71	$3,716.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,843.80 / $26,033.45 / $26,033.45	Facility		$10,843.80	$26,033.45	$26,033.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,237.97 / $14,301.28 / $16,659.15	Professional		$14,237.97	$14,301.28	$16,659.15
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 $1,960.76 / $2,477.96 / $3,487.18	Facility		$1,960.76	$2,477.96	$3,487.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.42 / $2,064.96 / $6,811.50	Professional		$1,902.42	$2,064.96	$6,811.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,713.00 / $21,278.00	Facility		$4,728.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.02 / $1,267.88 / $3,027.25	Professional		$466.02	$1,267.88	$3,027.25