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 $1,047.55 / $1,212.59 / $1,485.99	Professional		$1,047.55	$1,212.59	$1,485.99
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 $5,152.47 / $11,391.93 / $22,878.80	Professional		$5,152.47	$11,391.93	$22,878.80
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 $4,725.28 / $5,584.42 / $13,156.41	Facility		$4,725.28	$5,584.42	$13,156.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.40 / $1,083.57 / $1,449.51	Professional		$1,034.40	$1,083.57	$1,449.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,244.28 / $5,244.28 / $5,506.49	Professional		$5,244.28	$5,244.28	$5,506.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.23 / $959.18 / $2,316.79	Professional		$248.23	$959.18	$2,316.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,440.60 / $21,215.80 / $21,215.80	Facility		$8,440.60	$21,215.80	$21,215.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,003.36 / $9,868.87 / $11,115.15	Professional		$8,003.36	$9,868.87	$11,115.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $1,365.81 / $2,182.73	Facility		$279.83	$1,365.81	$2,182.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.23 / $1,034.40 / $2,306.12	Professional		$248.23	$1,034.40	$2,306.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $21,278.00	Facility		$4,728.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.85 / $1,656.66 / $3,310.95	Professional		$1,004.85	$1,656.66	$3,310.95