Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,375.01 / $22,209.20 / $61,051.30	Facility		$6,375.01	$22,209.20	$61,051.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,632.51 / $7,055.01 / $7,225.01	Professional		$4,632.51	$7,055.01	$7,225.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $42,585.00	Facility		$244.00	$614.00	$42,585.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,859.04 / $12,325.00	Professional		$1,549.20	$1,859.04	$12,325.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $13,090.00 / $23,375.00	Facility		$98.20	$13,090.00	$23,375.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,867.50 / $5,525.00 / $13,815.26	Professional		$3,867.50	$5,525.00	$13,815.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,607.88 / $11,967.15 / $21,547.50	Facility		$5,607.88	$11,967.15	$21,547.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $9,350.00 / $11,475.00	Professional		$8,500.00	$9,350.00	$11,475.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,650.00 / $9,775.00 / $16,235.00	Professional		$7,650.00	$9,775.00	$16,235.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,790.00 / $40,375.00 / $40,375.00	Facility		$14,790.00	$40,375.00	$40,375.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,330.00 / $42,330.00 / $63,750.00	Professional		$42,330.00	$42,330.00	$63,750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,888.27 / $11,160.50 / $21,547.50	Facility		$5,888.27	$11,160.50	$21,547.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $9,350.00 / $12,750.00	Professional		$8,500.00	$9,350.00	$12,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,714.25 / $20,467.15	Professional		$3,570.00	$3,714.25	$20,467.15