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 $363.25 / $744.80 / $744.80	Professional		$363.25	$744.80	$744.80
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 $48.82 / $145.55 / $200.39	Professional		$48.82	$145.55	$200.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,595.49	Facility		$66.09	$100.00	$8,595.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $261.48 / $487.95	Professional		$126.01	$261.48	$487.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,844.84 / $6,907.53 / $16,273.55	Facility		$5,844.84	$6,907.53	$16,273.55
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 $6,486.81 / $6,486.81 / $6,811.15	Professional		$6,486.81	$6,486.81	$6,811.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $269.50 / $449.18	Professional		$124.89	$269.50	$449.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.40 / $26,242.40 / $26,242.40	Facility		$1,304.40	$26,242.40	$26,242.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.16 / $1,788.72 / $2,003.70	Professional		$1,508.16	$1,788.72	$2,003.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $286.10 / $509.47	Facility		$146.88	$286.10	$509.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $197.57 / $351.95	Professional		$124.89	$197.57	$351.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $154.19 / $362.15	Professional		$126.16	$154.19	$362.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $220.77 / $582.23	Professional		$139.16	$220.77	$582.23