Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $66.83 / $85.04	Professional		$59.28	$66.83	$85.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,597.00 / $9,274.00	Facility		$2,143.00	$4,597.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $123.90 / $143.29	Professional		$65.89	$123.90	$143.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,946.88	Facility		$66.09	$100.00	$1,946.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $47.23 / $89.03	Professional		$26.56	$47.23	$89.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $471.68 / $1,111.23	Facility		$399.11	$471.68	$1,111.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $442.95 / $442.95 / $465.10	Professional		$442.95	$442.95	$465.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $44.62 / $72.26	Professional		$25.81	$44.62	$72.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.39 / $1,791.95 / $1,851.60	Facility		$317.39	$1,791.95	$1,851.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,023.30 / $2,023.30 / $2,023.30	Professional		$2,023.30	$2,023.30	$2,023.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $48.13 / $75.27	Facility		$30.18	$48.13	$75.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $39.40 / $63.72	Professional		$25.15	$39.40	$63.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $56.74 / $130.91	Professional		$36.60	$56.74	$130.91