Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $9,690.00 / $21,960.90	Facility		$84.00	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $176.96	Professional		$84.00	$84.00	$176.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,362.00 / $15,399.00	Facility		$3,242.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $462.79 / $700.31	Professional		$153.00	$462.79	$700.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $9,778.71	Facility		$66.09	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $54.00 / $131.63	Professional		$37.79	$54.00	$131.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,177.55 / $3,755.29 / $8,847.14	Facility		$3,177.55	$3,755.29	$8,847.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,526.56 / $3,526.56 / $3,702.89	Professional		$3,526.56	$3,526.56	$3,702.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $194.98 / $298.62	Professional		$162.47	$194.98	$298.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $366.03 / $14,266.70 / $14,266.70	Facility		$366.03	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.48 / $1,199.44 / $1,397.40	Professional		$1,166.48	$1,199.44	$1,397.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $202.21 / $267.18	Facility		$120.12	$202.21	$267.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $194.98 / $202.21	Professional		$162.47	$194.98	$202.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,672.00	Facility		$5,478.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $181.19 / $429.60	Professional		$124.51	$181.19	$429.60