Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,909.00 / $22,210.00	Facility		$2,421.00	$9,909.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $2,420.34 / $15,766.80	Professional		$728.00	$2,420.34	$15,766.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $9,830.00 / $19,951.00	Facility		$4,314.00	$9,830.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.86 / $1,661.50 / $3,716.01	Professional		$747.86	$1,661.50	$3,716.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $17,058.50	Facility		$65.90	$100.00	$17,058.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $1,020.58 / $14,056.53	Professional		$113.73	$1,020.58	$14,056.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,568.62 / $14,568.62 / $17,217.46	Facility		$14,568.62	$14,568.62	$17,217.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,928.33 / $9,843.87 / $16,712.34	Professional		$8,928.33	$9,843.87	$16,712.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,168.78 / $16,168.78 / $16,977.22	Professional		$16,168.78	$16,168.78	$16,977.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.25 / $8,348.89 / $19,679.14	Professional		$769.25	$8,348.89	$19,679.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71,879.22 / $80,215.24 / $87,949.61	Facility		$71,879.22	$80,215.24	$87,949.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $72,030.24 / $78,994.32 / $94,652.63	Professional		$72,030.24	$78,994.32	$94,652.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $846.18 / $3,049.63 / $20,311.66	Facility		$846.18	$3,049.63	$20,311.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.69 / $8,780.98 / $14,602.22	Professional		$742.69	$8,780.98	$14,602.22
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,330.00 / $45,545.00	Facility		$8,830.00	$18,330.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.60 / $916.68 / $2,992.15	Professional		$609.60	$916.68	$2,992.15