Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $9,674.00 / $20,509.00	Facility		$192.80	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $192.80 / $279.22	Professional		$192.80	$192.80	$279.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $6,163.00 / $13,012.00	Facility		$2,424.00	$6,163.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $294.32 / $1,021.41	Professional		$235.18	$294.32	$1,021.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,724.66	Facility		$66.90	$100.00	$9,724.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $243.35 / $347.64 / $714.64	Professional		$243.35	$347.64	$714.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $4,939.64 / $8,847.14	Facility		$2,277.00	$4,939.64	$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 $333.31 / $444.41 / $707.35	Professional		$333.31	$444.41	$707.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $727.02 / $14,266.70 / $14,266.70	Facility		$727.02	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,032.16 / $2,200.80 / $2,635.65	Professional		$2,032.16	$2,200.80	$2,635.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.11 / $444.41 / $550.01	Facility		$301.11	$444.41	$550.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.41 / $427.69 / $1,058.61	Professional		$356.41	$427.69	$1,058.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.12 / $342.76 / $714.62	Professional		$218.12	$342.76	$714.62