Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,557.00 / $20,751.00	Facility		$2,387.00	$8,557.00	$20,751.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $323.55 / $499.88	Professional		$287.02	$323.55	$499.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $5,863.00 / $11,400.00	Facility		$2,456.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.62 / $317.47 / $347.46	Professional		$226.62	$317.47	$347.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,473.32	Facility		$66.09	$100.00	$7,473.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.43 / $320.61 / $613.10	Professional		$224.43	$320.61	$613.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $419.81 / $496.13	Facility		$419.81	$419.81	$496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.52 / $252.98 / $295.00	Professional		$241.52	$252.98	$295.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $465.92 / $465.92 / $489.22	Professional		$465.92	$465.92	$489.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $344.45 / $545.04	Professional		$304.58	$344.45	$545.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,497.65 / $1,884.85 / $1,885.50	Facility		$1,497.65	$1,884.85	$1,885.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.16 / $2,370.48 / $2,761.20	Professional		$2,304.16	$2,370.48	$2,761.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.19 / $390.85 / $501.02	Facility		$313.19	$390.85	$501.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $295.00 / $315.38	Professional		$245.59	$295.00	$315.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,731.00 / $7,940.00	Facility		$1,120.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $418.82 / $833.56	Professional		$281.20	$418.82	$833.56