Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,211.00 / $17,013.00	Facility		$1,539.00	$6,211.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,059.20 / $1,592.16	Professional		$1,059.20	$1,059.20	$1,592.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $9,596.00 / $18,812.00	Facility		$3,640.00	$9,596.00	$18,812.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,503.53 / $110,999.98 / $181,999.98	Professional		$1,503.53	$110,999.98	$181,999.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $14,117.38	Facility		$65.90	$100.00	$14,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $600.00 / $1,235.04	Professional		$420.00	$600.00	$1,235.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $16,165.55 / $22,034.61	Facility		$705.31	$16,165.55	$22,034.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.80 / $1,131.13 / $1,319.10	Professional		$1,079.80	$1,131.13	$1,319.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15,941.39 / $15,941.39 / $16,738.46	Professional		$15,941.39	$15,941.39	$16,738.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.90 / $1,894.82 / $3,283.58	Professional		$1,482.90	$1,894.82	$3,283.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,033.52 / $58,760.78 / $102,618.25	Facility		$8,033.52	$58,760.78	$102,618.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,302.08 / $10,796.72 / $12,345.15	Professional		$10,302.08	$10,796.72	$12,345.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,112.16 / $1,977.20 / $2,543.80	Facility		$1,112.16	$1,977.20	$2,543.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,097.90 / $1,319.10 / $1,719.15	Professional		$1,097.90	$1,319.10	$1,719.15
United Facility/Professional Facility Modifier Low / Median / High Price $11,250.00 / $23,865.00 / $54,484.00	Facility		$11,250.00	$23,865.00	$54,484.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.17 / $1,478.43 / $3,118.38	Professional		$1,057.17	$1,478.43	$3,118.38