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 $401.59 / $480.97 / $613.64	Professional		$401.59	$480.97	$613.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.00 / $9,905.00 / $19,252.00	Facility		$4,208.00	$9,905.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.08 / $1,258.47 / $1,971.61	Professional		$815.08	$1,258.47	$1,971.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,282.23	Facility		$66.90	$100.00	$7,282.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $9,810.25 / $17,570.59	Facility		$2,277.00	$9,810.25	$17,570.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.39 / $399.51 / $465.89	Professional		$381.39	$399.51	$465.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $7,003.83 / $7,003.83 / $7,354.02	Professional		$7,003.83	$7,003.83	$7,354.02
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 $1,891.88 / $28,334.00 / $28,334.00	Facility		$1,891.88	$28,334.00	$28,334.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,638.56 / $3,740.24 / $4,359.89	Professional		$3,638.56	$3,740.24	$4,359.89
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 $549.03 / $641.34 / $844.42	Facility		$549.03	$641.34	$844.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.81 / $465.89 / $2,170.50	Professional		$387.81	$465.89	$2,170.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,206.00 / $14,960.19	Facility		$3,867.00	$7,206.00	$14,960.19
United Facility/Professional Professional Modifier Low / Median / High Price $390.96 / $549.94 / $1,113.28	Professional		$390.96	$549.94	$1,113.28