Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.10 / $6,211.00 / $17,013.00	Facility		$1,411.10	$6,211.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $233.36 / $2,821.45	Professional		$58.90	$233.36	$2,821.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,573.00 / $6,978.00 / $13,707.00	Facility		$3,573.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $143.79 / $293.29	Professional		$79.95	$143.79	$293.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $764.23 / $1,646.88	Facility		$97.00	$764.23	$1,646.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,572.01 / $2,245.73 / $5,003.93	Professional		$1,572.01	$2,245.73	$5,003.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,250.93 / $4,751.93 / $6,625.31	Professional		$4,250.93	$4,751.93	$6,625.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $84.83 / $5,032.58	Professional		$62.84	$84.83	$5,032.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $4,470.52 / $12,091.45	Professional		$56.32	$4,470.52	$12,091.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $277.20 / $277.20	Facility		$255.86	$277.20	$277.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $417.20 / $22,830.08 / $51,110.33	Professional		$417.20	$22,830.08	$51,110.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $233.36 / $9,554.34	Facility		$58.36	$233.36	$9,554.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $3,759.92 / $6,625.31	Professional		$106.02	$3,759.92	$6,625.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $69.81 / $9,212.42	Professional		$50.78	$69.81	$9,212.42
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,593.99 / $2,163.33 / $5,275.57	Professional		$1,593.99	$2,163.33	$5,275.57