Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,902.00	Facility		$1,820.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $221.97 / $978.68	Professional		$196.91	$221.97	$978.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,309.00 / $15,399.00	Facility		$3,518.00	$7,309.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.70 / $934.85 / $1,432.57	Professional		$719.70	$934.85	$1,432.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $10,063.87	Facility		$65.90	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $383.06 / $732.53	Professional		$268.14	$383.06	$732.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.26 / $2,468.26 / $2,917.04	Facility		$2,468.26	$2,468.26	$2,917.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,739.37 / $2,739.37 / $2,876.34	Professional		$2,739.37	$2,739.37	$2,876.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $415.20 / $651.20	Professional		$363.91	$415.20	$651.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,802.00 / $11,082.10 / $11,082.10	Facility		$1,802.00	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,435.05 / $4,633.35 / $4,648.80	Professional		$3,435.05	$4,633.35	$4,648.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.58 / $452.42 / $603.91	Facility		$292.58	$452.42	$603.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.44 / $377.45 / $383.06	Professional		$358.44	$377.45	$383.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $370.89 / $447.50	Professional		$325.45	$370.89	$447.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.04 / $287.24 / $728.86	Professional		$187.04	$287.24	$728.86