Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $9,674.00 / $20,509.00	Facility		$1,000.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,000.00 / $2,305.56	Professional		$663.58	$1,000.00	$2,305.56
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 $510.99 / $1,901.58 / $6,836.07	Professional		$510.99	$1,901.58	$6,836.07
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 $260.82 / $372.60 / $765.95	Professional		$260.82	$372.60	$765.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $6,894.76 / $12,348.83	Facility		$5,980.00	$6,894.76	$12,348.83
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 $4,922.37 / $4,922.37 / $5,168.49	Professional		$4,922.37	$4,922.37	$5,168.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $801.00 / $2,903.57	Professional		$299.08	$801.00	$2,903.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,779.04 / $19,913.50 / $19,913.50	Facility		$9,779.04	$19,913.50	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,311.13 / $14,615.12 / $15,862.58	Professional		$14,311.13	$14,615.12	$15,862.58
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 $351.28 / $1,451.78 / $2,445.16	Facility		$351.28	$1,451.78	$2,445.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $505.58 / $2,608.88	Professional		$299.08	$505.58	$2,608.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,539.00 / $20,217.00	Facility		$5,213.00	$9,539.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.35 / $1,632.69 / $4,063.70	Professional		$607.35	$1,632.69	$4,063.70