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 $339.58 / $640.00 / $640.00	Professional		$339.58	$640.00	$640.00
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 $121.19 / $251.77 / $473.50	Professional		$121.19	$251.77	$473.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.13 / $2,152.23 / $5,070.50	Facility		$1,821.13	$2,152.23	$5,070.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $212.10 / $315.00	Professional		$192.38	$212.10	$315.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,021.15 / $2,021.15 / $2,122.21	Professional		$2,021.15	$2,021.15	$2,122.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $262.45 / $439.13	Professional		$120.07	$262.45	$439.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.30 / $8,176.60 / $8,176.60	Facility		$1,093.30	$8,176.60	$8,176.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.76 / $1,804.96 / $2,016.00	Professional		$1,501.76	$1,804.96	$2,016.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.43 / $279.70 / $516.26	Facility		$141.43	$279.70	$516.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $198.19 / $443.57	Professional		$120.07	$198.19	$443.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $151.13 / $358.69	Professional		$122.36	$151.13	$358.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.00 / $12,313.00 / $26,451.00	Facility		$5,307.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $258.29 / $600.01	Professional		$169.48	$258.29	$600.01