Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,497.00 / $9,666.00 / $22,210.00	Facility		$3,497.00	$9,666.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $48.85 / $582.07	Professional		$43.04	$48.85	$582.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $7,764.00 / $16,461.00	Facility		$3,537.00	$7,764.00	$16,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $276.92 / $371.50	Professional		$47.84	$276.92	$371.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,282.23	Facility		$66.09	$100.00	$7,282.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,516.27 / $5,516.27 / $6,519.22	Facility		$5,516.27	$5,516.27	$6,519.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.19 / $294.54 / $343.46	Professional		$281.19	$294.54	$343.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,122.15 / $6,122.15 / $6,428.26	Professional		$6,122.15	$6,122.15	$6,428.26
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 $1,743.70 / $24,767.20 / $24,767.20	Facility		$1,743.70	$24,767.20	$24,767.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,682.56 / $2,757.36 / $3,214.88	Professional		$2,682.56	$2,757.36	$3,214.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $449.08 / $595.86	Facility		$66.61	$449.08	$595.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.93 / $343.46 / $382.08	Professional		$285.93	$343.46	$382.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $62.98 / $178.31	Professional		$42.15	$62.98	$178.31