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 $169.84 / $223.31 / $282.18	Professional		$169.84	$223.31	$282.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $5,863.00 / $11,233.00	Facility		$2,424.00	$5,863.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $282.62 / $448.27	Professional		$147.83	$282.62	$448.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $2,102.15	Facility		$66.90	$100.00	$2,102.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.37 / $3,825.13 / $6,838.87	Facility		$3,818.37	$3,825.13	$6,838.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.06 / $254.62 / $296.94	Professional		$243.06	$254.62	$296.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,726.05 / $2,726.05 / $2,862.35	Professional		$2,726.05	$2,726.05	$2,862.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $727.82 / $11,028.25 / $11,028.25	Facility		$727.82	$11,028.25	$11,028.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.96 / $2,319.12 / $2,777.40	Professional		$1,866.96	$2,319.12	$2,777.40
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 $260.17 / $408.72 / $536.00	Facility		$260.17	$408.72	$536.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.13 / $296.94 / $987.00	Professional		$247.13	$296.94	$987.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $250.04 / $490.68	Professional		$178.10	$250.04	$490.68