Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,567.70 / $4,309.50	Facility		$450.00	$1,567.70	$4,309.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $498.00 / $510.00	Professional		$327.00	$498.00	$510.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,006.00	Facility		$244.00	$614.00	$3,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $273.60 / $451.20	Professional		$240.00	$273.60	$451.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $792.00 / $5,382.00	Facility		$59.40	$792.00	$5,382.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $390.00 / $975.20	Professional		$273.00	$390.00	$975.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.79 / $805.35 / $1,963.65	Facility		$401.79	$805.35	$1,963.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.02 / $499.22 / $681.15	Professional		$468.02	$499.22	$681.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $660.00 / $810.00	Professional		$600.00	$660.00	$810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $690.00 / $1,170.00	Professional		$540.00	$690.00	$1,170.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $2,850.00 / $2,850.00	Facility		$1,044.00	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $4,500.00	Professional		$2,988.00	$2,988.00	$4,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $720.00 / $1,572.19	Facility		$480.00	$720.00	$1,572.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $660.00 / $900.00	Professional		$524.66	$660.00	$900.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $612.00 / $1,020.00	Professional		$480.00	$612.00	$1,020.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $271.02 / $1,300.26	Professional		$252.00	$271.02	$1,300.26