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 $164.30 / $186.75 / $233.75	Professional		$164.30	$186.75	$233.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,836.00 / $9,589.00	Facility		$2,143.00	$4,836.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $235.17 / $374.65	Professional		$151.63	$235.17	$374.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $2,248.92	Facility		$63.50	$100.00	$2,248.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $231.04 / $431.19	Professional		$143.53	$231.04	$431.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.58 / $1,243.97 / $2,930.68	Facility		$1,052.58	$1,243.97	$2,930.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $184.59 / $391.41	Professional		$167.43	$184.59	$391.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.20 / $1,168.20 / $1,226.60	Professional		$1,168.20	$1,168.20	$1,226.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $216.63 / $377.32	Professional		$140.59	$216.63	$377.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $353.77 / $4,725.95 / $4,725.95	Facility		$353.77	$4,725.95	$4,725.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.36 / $1,857.20 / $1,857.20	Professional		$1,413.36	$1,857.20	$1,857.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.66 / $231.04 / $333.23	Facility		$165.66	$231.04	$333.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $216.63 / $363.97	Professional		$167.43	$216.63	$363.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,213.00 / $9,131.00	Facility		$2,150.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $218.00 / $544.74	Professional		$152.60	$218.00	$544.74