Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $9,406.21 / $25,857.00	Facility		$2,700.00	$9,406.21	$25,857.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,962.00 / $2,988.00 / $3,060.00	Professional		$1,962.00	$2,988.00	$3,060.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $18,036.00	Facility		$244.00	$614.00	$18,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,641.60 / $2,707.20	Professional		$1,440.00	$1,641.60	$2,707.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,436.00 / $9,900.00	Facility		$97.00	$5,436.00	$9,900.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,340.00 / $5,851.17	Professional		$1,638.00	$2,340.00	$5,851.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,410.73 / $4,165.20 / $9,102.60	Facility		$2,410.73	$4,165.20	$9,102.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,960.00 / $4,860.00	Professional		$3,600.00	$3,960.00	$4,860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,140.00 / $6,876.00	Professional		$3,240.00	$4,140.00	$6,876.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,264.00 / $17,100.00 / $17,100.00	Facility		$6,264.00	$17,100.00	$17,100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,928.00 / $17,928.00 / $27,000.00	Professional		$17,928.00	$17,928.00	$27,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $4,320.00 / $8,033.45	Facility		$2,880.00	$4,320.00	$8,033.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,960.00 / $5,400.00	Professional		$3,600.00	$3,960.00	$5,400.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,672.00 / $6,120.00	Professional		$2,880.00	$3,672.00	$6,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,573.09 / $7,152.48	Professional		$1,512.00	$1,573.09	$7,152.48