Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $9,049.00 / $21,244.00	Facility		$2,871.00	$9,049.00	$21,244.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.82 / $505.92 / $739.32	Professional		$448.82	$505.92	$739.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,048.00 / $13,697.00	Facility		$2,456.00	$6,048.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.39 / $496.74 / $557.19	Professional		$359.39	$496.74	$557.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,924.04	Facility		$66.09	$100.00	$7,924.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $622.01 / $888.58 / $1,699.23	Professional		$622.01	$888.58	$1,699.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.26 / $2,468.26 / $2,917.04	Facility		$2,468.26	$2,468.26	$2,917.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.83 / $638.82 / $744.99	Professional		$609.83	$638.82	$744.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,739.37 / $2,739.37 / $2,876.34	Professional		$2,739.37	$2,739.37	$2,876.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.72 / $955.14 / $1,510.59	Professional		$799.72	$955.14	$1,510.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,242.44 / $11,082.10 / $11,082.10	Facility		$2,242.44	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,708.24 / $5,818.24 / $5,818.24	Professional		$3,708.24	$5,818.24	$5,818.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $665.95 / $1,042.70 / $1,374.32	Facility		$665.95	$1,042.70	$1,374.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.05 / $744.99 / $888.58	Professional		$620.05	$744.99	$888.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.67 / $649.87 / $1,303.36	Professional		$441.67	$649.87	$1,303.36