Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.79 / $8,050.00 / $19,011.00	Facility		$2,545.79	$8,050.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,235.59 / $2,541.04 / $2,639.20	Professional		$2,235.59	$2,541.04	$2,639.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,303.00 / $15,399.00	Facility		$3,222.00	$7,303.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.67 / $3,310.38 / $5,303.03	Professional		$233.67	$3,310.38	$5,303.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $2,044.40	Facility		$63.90	$100.00	$2,044.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $203.93 / $793.55 / $4,135.02	Professional		$203.93	$793.55	$4,135.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.75 / $1,418.36 / $1,704.03	Professional		$594.75	$1,418.36	$1,704.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,099.18 / $3,099.18 / $3,254.14	Professional		$3,099.18	$3,099.18	$3,254.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $1,613.05 / $3,896.14	Professional		$207.55	$1,613.05	$3,896.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,176.34 / $12,537.75 / $12,537.75	Facility		$4,176.34	$12,537.75	$12,537.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,613.16 / $14,565.00 / $14,636.88	Professional		$12,613.16	$14,565.00	$14,636.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $2,433.00 / $3,704.05	Facility		$239.86	$2,433.00	$3,704.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $1,394.93 / $3,831.22	Professional		$210.10	$1,394.93	$3,831.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,075.85 / $2,965.60 / $7,412.51	Professional		$2,075.85	$2,965.60	$7,412.51