Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $9,144.94 / $25,138.80	Facility		$2,625.00	$9,144.94	$25,138.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $2,905.00 / $2,975.00	Professional		$2,625.00	$2,905.00	$2,975.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $17,535.00	Facility		$244.00	$614.00	$17,535.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $2,365.71 / $5,387.48	Professional		$239.16	$2,365.71	$5,387.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $4,620.00 / $31,395.00	Facility		$59.40	$4,620.00	$31,395.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $2,275.00 / $5,688.64	Professional		$1,592.50	$2,275.00	$5,688.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,343.77 / $5,869.50 / $11,716.25	Facility		$2,343.77	$5,869.50	$11,716.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,729.91 / $2,911.91 / $3,973.08	Professional		$2,729.91	$2,911.91	$3,973.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,850.00 / $4,725.00	Professional		$3,500.00	$3,850.00	$4,725.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $4,025.00 / $6,825.00	Professional		$3,150.00	$4,025.00	$6,825.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,090.00 / $16,625.00 / $16,625.00	Facility		$6,090.00	$16,625.00	$16,625.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,430.00 / $17,430.00 / $26,250.00	Professional		$17,430.00	$17,430.00	$26,250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,460.04 / $5,291.65 / $10,601.50	Facility		$2,460.04	$5,291.65	$10,601.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,343.10 / $3,850.00 / $5,040.00	Professional		$3,343.10	$3,850.00	$5,040.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $3,570.00 / $5,950.00	Professional		$2,800.00	$3,570.00	$5,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,575.00 / $9,005.50	Professional		$1,470.00	$1,575.00	$9,005.50