Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $1,479.41 / $1,479.41	Professional		$353.19	$1,479.41	$1,479.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $7,303.00 / $15,328.00	Facility		$3,113.00	$7,303.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.73 / $578.90 / $906.94	Professional		$408.73	$578.90	$906.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,591.57	Facility		$66.09	$100.00	$5,591.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,214.06 / $2,214.06 / $2,324.76	Professional		$2,214.06	$2,214.06	$2,324.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,658.16 / $8,957.00 / $8,957.00	Facility		$1,658.16	$8,957.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,093.20 / $3,367.28 / $4,476.00	Professional		$3,093.20	$3,367.28	$4,476.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.95 / $581.40 / $1,405.32	Facility		$521.95	$581.40	$1,405.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.10 / $468.44 / $2,460.27	Professional		$452.10	$468.44	$2,460.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.58 / $433.46 / $861.20	Professional		$313.58	$433.46	$861.20