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 $344.76 / $388.64 / $570.30	Professional		$344.76	$388.64	$570.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $14,393.00	Facility		$2,456.00	$6,191.00	$14,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.42 / $381.26 / $432.21	Professional		$277.42	$381.26	$432.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $13,007.61	Facility		$66.09	$100.00	$13,007.61
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 $18,183.00 / $25,976.00 / $28,088.78	Facility		$18,183.00	$25,976.00	$28,088.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $288.11 / $335.98	Professional		$275.04	$288.11	$335.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26,377.94 / $26,377.94 / $27,696.84	Professional		$26,377.94	$26,377.94	$27,696.84
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 $1,364.12 / $106,712.10 / $106,712.10	Facility		$1,364.12	$106,712.10	$106,712.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,624.08 / $2,847.12 / $3,143.33	Professional		$2,624.08	$2,847.12	$3,143.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.17 / $511.58 / $677.76	Facility		$432.17	$511.58	$677.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $308.33 / $385.41	Professional		$279.64	$308.33	$385.41
United Facility/Professional Facility Modifier Low / Median / High Price $17,643.00 / $36,665.00 / $81,823.00	Facility		$17,643.00	$36,665.00	$81,823.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.30 / $495.50 / $1,088.58	Professional		$339.30	$495.50	$1,088.58