Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,218.00 / $17,013.00	Facility		$1,539.00	$6,218.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $1,000.00 / $2,267.38	Professional		$96.66	$1,000.00	$2,267.38
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 $137.69 / $239.82 / $478.14	Professional		$137.69	$239.82	$478.14
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 $1,577.33 / $2,253.33 / $5,020.87	Professional		$1,577.33	$2,253.33	$5,020.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,022.35 / $4,022.35 / $4,022.35	Professional		$4,022.35	$4,022.35	$4,022.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $141.41 / $4,756.79	Professional		$104.75	$141.41	$4,756.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $4,198.30 / $11,351.46	Professional		$93.69	$4,198.30	$11,351.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $461.61 / $461.61	Facility		$425.37	$461.61	$461.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $695.44 / $22,738.24 / $48,004.50	Professional		$695.44	$22,738.24	$48,004.50
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 $97.18 / $1,000.00 / $8,969.92	Facility		$97.18	$1,000.00	$8,969.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $3,561.69 / $5,598.76	Professional		$97.18	$3,561.69	$5,598.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $116.38 / $8,643.73	Professional		$84.64	$116.38	$8,643.73
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,630.00 / $5,830.00	Facility		$587.00	$1,630.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,601.32 / $2,167.16 / $5,317.15	Professional		$1,601.32	$2,167.16	$5,317.15