Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $13,064.20 / $35,912.50	Facility		$3,750.00	$13,064.20	$35,912.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,281.50 / $4,250.00 / $5,000.00	Professional		$3,281.50	$4,250.00	$5,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $9,658.50 / $24,895.00	Facility		$614.00	$9,658.50	$24,895.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $3,408.00 / $7,696.40	Professional		$2,000.00	$3,408.00	$7,696.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $6,600.00 / $44,850.00	Facility		$59.40	$6,600.00	$44,850.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $3,250.00 / $8,126.63	Professional		$2,275.00	$3,250.00	$8,126.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,348.23 / $8,385.00 / $16,737.50	Facility		$3,348.23	$8,385.00	$16,737.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,500.00 / $6,750.00	Professional		$5,000.00	$5,500.00	$6,750.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $5,750.00 / $9,750.00	Professional		$4,500.00	$5,750.00	$9,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,700.00 / $23,750.00 / $23,750.00	Facility		$8,700.00	$23,750.00	$23,750.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,900.00 / $24,900.00 / $37,500.00	Professional		$24,900.00	$24,900.00	$37,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,514.35 / $7,559.50 / $15,145.00	Facility		$3,514.35	$7,559.50	$15,145.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,500.00 / $7,500.00	Professional		$5,000.00	$5,500.00	$7,500.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $5,100.00 / $8,500.00	Professional		$4,000.00	$5,100.00	$8,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $11,040.00	Professional		$2,100.00	$2,100.00	$11,040.00