Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,390.00 / $17,013.00	Facility		$1,208.95	$5,390.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.86 / $252.97 / $316.08	Professional		$217.86	$252.97	$316.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $6,892.00 / $13,707.00	Facility		$3,113.00	$6,892.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.31 / $314.74 / $494.30	Professional		$192.31	$314.74	$494.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $2,131.65	Facility		$66.90	$100.00	$2,131.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $94.31 / $192.68	Professional		$31.39	$94.31	$192.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,452.00 / $11,696.06 / $20,948.16	Facility		$7,452.00	$11,696.06	$20,948.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $112.75 / $131.47	Professional		$107.64	$112.75	$131.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,350.16 / $8,350.16 / $8,767.67	Professional		$8,350.16	$8,350.16	$8,767.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $87.01 / $233.22	Professional		$30.63	$87.01	$233.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.31 / $33,780.60 / $33,780.60	Facility		$322.31	$33,780.60	$33,780.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.65 / $2,270.48 / $2,888.10	Professional		$2,103.65	$2,270.48	$2,888.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $133.86 / $241.81	Facility		$35.70	$133.86	$241.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $109.44 / $1,105.50	Professional		$30.63	$109.44	$1,105.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $9,148.00	Facility		$1,410.00	$2,761.00	$9,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.06 / $282.62 / $561.41	Professional		$206.06	$282.62	$561.41