Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,004.00 / $22,210.00	Facility		$2,421.00	$10,004.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.96 / $1,009.33 / $1,236.84	Professional		$871.96	$1,009.33	$1,236.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,517.00 / $7,455.00 / $15,399.00	Facility		$3,517.00	$7,455.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,272.78 / $7,886.05 / $15,837.82	Professional		$4,272.78	$7,886.05	$15,837.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,760.02	Facility		$66.09	$100.00	$5,760.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,145.56 / $1,636.52 / $3,989.34	Professional		$1,145.56	$1,636.52	$3,989.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,321.99 / $3,925.98 / $9,249.27	Facility		$3,321.99	$3,925.98	$9,249.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $652.35 / $872.66	Professional		$622.74	$652.35	$872.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,686.86 / $3,686.86 / $3,871.20	Professional		$3,686.86	$3,686.86	$3,871.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,405.12 / $14,915.20 / $14,915.20	Facility		$5,405.12	$14,915.20	$14,915.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,428.16 / $6,468.32 / $8,492.85	Professional		$6,428.16	$6,468.32	$8,492.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $978.53 / $1,136.83 / $1,521.55	Facility		$978.53	$1,136.83	$1,521.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.17 / $760.78 / $872.66	Professional		$633.17	$760.78	$872.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $22,073.00	Facility		$4,509.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.47 / $1,465.75 / $3,313.41	Professional		$833.47	$1,465.75	$3,313.41