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 $448.82 / $505.92 / $739.32	Professional		$448.82	$505.92	$739.32
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 $485.58 / $630.74 / $966.56	Professional		$485.58	$630.74	$966.56
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
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.86 / $373.81 / $435.91	Professional		$356.86	$373.81	$435.91
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 $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,212.60 / $11,082.10 / $11,082.10	Facility		$2,212.60	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,404.56 / $3,708.24 / $4,079.03	Professional		$3,404.56	$3,708.24	$4,079.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.35 / $653.87 / $873.66	Facility		$537.35	$653.87	$873.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.85 / $400.04 / $500.05	Professional		$362.85	$400.04	$500.05
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 $439.71 / $649.87 / $1,417.13	Professional		$439.71	$649.87	$1,417.13