Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,538.00	Facility		$1,919.00	$6,342.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.36 / $426.51 / $544.08	Professional		$378.36	$426.51	$544.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.00 / $7,028.00 / $13,707.00	Facility		$3,491.00	$7,028.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $418.13 / $439.39	Professional		$256.17	$418.13	$439.39
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 $263.13 / $375.90 / $718.83	Professional		$263.13	$375.90	$718.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $1,239.41 / $1,464.75	Facility		$1,239.41	$1,239.41	$1,464.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.10 / $273.50 / $318.91	Professional		$261.10	$273.50	$318.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.54 / $1,375.54 / $1,444.32	Professional		$1,375.54	$1,375.54	$1,444.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.68 / $400.28 / $639.03	Professional		$356.68	$400.28	$639.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.32 / $5,564.75 / $5,564.75	Facility		$1,295.32	$5,564.75	$5,564.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,490.88 / $2,560.16 / $2,985.38	Professional		$2,490.88	$2,560.16	$2,985.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.16 / $457.29 / $629.71	Facility		$372.16	$457.29	$629.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $350.26 / $451.08	Professional		$265.50	$350.26	$451.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.71 / $539.28 / $1,098.76	Professional		$370.71	$539.28	$1,098.76