Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $315.83 / $315.83	Professional		$315.83	$315.83	$315.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,952.00 / $11,216.00	Facility		$2,143.00	$4,952.00	$11,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $139.50 / $236.27	Professional		$81.68	$139.50	$236.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,138.75	Facility		$66.09	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $244.65 / $460.12	Professional		$117.77	$244.65	$460.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.47 / $2,244.82 / $5,288.61	Facility		$1,899.47	$2,244.82	$5,288.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.63 / $210.19 / $315.00	Professional		$190.63	$210.19	$315.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.09 / $2,108.09 / $2,213.48	Professional		$2,108.09	$2,108.09	$2,213.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $255.03 / $426.71	Professional		$116.67	$255.03	$426.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.40 / $8,528.29 / $8,528.29	Facility		$1,304.40	$8,528.29	$8,528.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.76 / $1,788.72 / $2,003.70	Professional		$1,501.76	$1,788.72	$2,003.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.43 / $279.70 / $418.51	Facility		$141.43	$279.70	$418.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $196.41 / $431.03	Professional		$120.07	$196.41	$431.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,672.00	Facility		$5,478.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $252.29 / $620.30	Professional		$169.48	$252.29	$620.30