Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,945.00 / $18,483.00	Facility		$1,992.00	$7,945.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.00 / $1,188.59 / $1,515.98	Professional		$993.00	$1,188.59	$1,515.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,500.00 / $16,460.00	Facility		$3,222.00	$7,500.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,265.68 / $2,027.38 / $2,782.42	Professional		$1,265.68	$2,027.38	$2,782.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $5,663.33	Facility		$66.90	$100.00	$5,663.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,738.87 / $15,651.72	Facility		$2,277.00	$8,738.87	$15,651.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,238.94 / $6,238.94 / $6,550.89	Professional		$6,238.94	$6,238.94	$6,550.89
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 $6,599.94 / $25,239.65 / $25,239.65	Facility		$6,599.94	$25,239.65	$25,239.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,463.44 / $8,706.79 / $10,142.93	Professional		$8,463.44	$8,706.79	$10,142.93
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 $1,352.55 / $1,510.05 / $1,964.18	Facility		$1,352.55	$1,510.05	$1,964.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,199.70 / $1,243.08 / $5,578.48	Professional		$1,199.70	$1,243.08	$5,578.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,555.00 / $28,973.00	Facility		$7,696.00	$13,555.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.26 / $1,358.89 / $2,672.42	Professional		$970.26	$1,358.89	$2,672.42