Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,763.16 / $10,399.00 / $22,788.00	Facility		$2,763.16	$10,399.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $590.37 / $752.80	Professional		$523.73	$590.37	$752.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $7,773.00 / $16,461.00	Facility		$3,537.00	$7,773.00	$16,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $663.65 / $1,017.00	Professional		$557.19	$663.65	$1,017.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $12,882.22	Facility		$66.09	$100.00	$12,882.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $460.64 / $880.88	Professional		$322.45	$460.64	$880.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,060.05 / $18,060.05 / $21,343.70	Facility		$18,060.05	$18,060.05	$21,343.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $336.36 / $392.22	Professional		$321.12	$336.36	$392.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20,043.68 / $20,043.68 / $21,045.87	Professional		$20,043.68	$20,043.68	$21,045.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $469.77 / $783.09	Professional		$398.11	$469.77	$783.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,991.25 / $81,086.85 / $81,086.85	Facility		$1,991.25	$81,086.85	$81,086.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.67 / $2,946.67 / $3,671.25	Professional		$2,946.67	$2,946.67	$3,671.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.68 / $566.85 / $844.23	Facility		$444.68	$566.85	$844.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $398.11 / $552.77	Professional		$326.52	$398.11	$552.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $386.67 / $444.68 / $531.66	Professional		$386.67	$444.68	$531.66
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.04 / $752.81 / $1,570.41	Professional		$513.04	$752.81	$1,570.41