Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $8,361.09 / $22,984.00	Facility		$2,400.00	$8,361.09	$22,984.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.00 / $2,656.00 / $2,720.00	Professional		$1,744.00	$2,656.00	$2,720.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $16,032.00	Facility		$244.00	$614.00	$16,032.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $8.98 / $5,248.00	Professional		$7.49	$8.98	$5,248.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,832.00 / $8,800.00	Facility		$97.00	$4,832.00	$8,800.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,456.00 / $2,080.00 / $5,201.04	Professional		$1,456.00	$2,080.00	$5,201.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,142.87 / $3,702.40 / $8,091.20	Facility		$2,142.87	$3,702.40	$8,091.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,520.00 / $4,320.00	Professional		$3,200.00	$3,520.00	$4,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,680.00 / $6,112.00	Professional		$2,880.00	$3,680.00	$6,112.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,568.00 / $15,200.00 / $15,200.00	Facility		$5,568.00	$15,200.00	$15,200.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,936.00 / $15,936.00 / $24,000.00	Professional		$15,936.00	$15,936.00	$24,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,560.00 / $3,840.00 / $7,140.85	Facility		$2,560.00	$3,840.00	$7,140.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,520.00 / $4,800.00	Professional		$3,200.00	$3,520.00	$4,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,440.00 / $8,917.12	Professional		$1,344.00	$1,440.00	$8,917.12