Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $9,674.00 / $20,509.00	Facility		$4,704.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.83 / $7,943.92 / $7,943.92	Professional		$857.83	$7,943.92	$7,943.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $6,163.00 / $13,707.00	Facility		$2,424.00	$6,163.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.03 / $1,099.39 / $1,785.81	Professional		$841.03	$1,099.39	$1,785.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $15,436.09	Facility		$66.90	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $89.13	Professional		$40.00	$40.00	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $6,894.76 / $12,348.83	Facility		$4,340.00	$6,894.76	$12,348.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,922.37 / $4,922.37 / $5,168.49	Professional		$4,922.37	$4,922.37	$5,168.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,122.00 / $19,913.50 / $19,913.50	Facility		$4,122.00	$19,913.50	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,815.37 / $6,801.44 / $7,443.90	Professional		$5,815.37	$6,801.44	$7,443.90
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 $870.49 / $977.83 / $4,340.00	Facility		$870.49	$977.83	$4,340.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $749.25 / $776.32 / $4,156.50	Professional		$749.25	$776.32	$4,156.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.17 / $1,052.97 / $2,113.94	Professional		$748.17	$1,052.97	$2,113.94