Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $7,628.45 / $20,970.00	Facility		$2,189.69	$7,628.45	$20,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $2,481.66 / $2,919.60	Professional		$1,897.74	$2,481.66	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $14,627.20	Facility		$244.00	$614.00	$14,627.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,401.40 / $4,788.14	Professional		$1,167.83	$1,401.40	$4,788.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $3,853.87 / $26,188.81	Facility		$59.40	$3,853.87	$26,188.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $2,275.00 / $5,688.64	Professional		$1,592.50	$2,275.00	$5,688.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,144.44 / $3,253.25 / $8,357.74	Facility		$2,144.44	$3,253.25	$8,357.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,850.00 / $4,725.00	Professional		$3,500.00	$3,850.00	$4,725.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $4,025.00 / $6,825.00	Professional		$3,150.00	$4,025.00	$6,825.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,090.00 / $16,380.00 / $16,625.00	Facility		$6,090.00	$16,380.00	$16,625.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,430.00 / $17,430.00 / $26,250.00	Professional		$17,430.00	$17,430.00	$26,250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $4,504.50 / $8,357.74	Facility		$2,275.00	$4,504.50	$8,357.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,080.18 / $3,211.56 / $3,500.00	Professional		$3,080.18	$3,211.56	$3,500.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $3,570.00 / $5,950.00	Professional		$2,800.00	$3,570.00	$5,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,328.42 / $5,780.81	Professional		$1,226.23	$1,328.42	$5,780.81