Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,384.00 / $20,135.00	Facility		$2,421.00	$9,384.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.08 / $1,490.31 / $1,900.52	Professional		$1,322.08	$1,490.31	$1,900.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,324.00 / $18,150.00	Facility		$3,908.00	$9,324.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,536.30 / $3,369.86 / $5,052.84	Professional		$1,536.30	$3,369.86	$5,052.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,610.10	Facility		$66.09	$100.00	$7,610.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $893.94 / $1,277.05 / $2,845.52	Professional		$893.94	$1,277.05	$2,845.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,226.87 / $10,904.48 / $25,690.00	Facility		$9,226.87	$10,904.48	$25,690.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10,240.31 / $10,240.31 / $10,752.33	Professional		$10,240.31	$10,240.31	$10,752.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.58 / $1,478.67 / $2,234.84	Professional		$1,216.58	$1,478.67	$2,234.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,073.12 / $41,427.19 / $41,427.19	Facility		$11,073.12	$41,427.19	$41,427.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,649.36 / $11,594.96 / $12,758.33	Professional		$10,649.36	$11,594.96	$12,758.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,292.75 / $1,556.74 / $2,182.00	Facility		$1,292.75	$1,556.74	$2,182.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,197.49 / $1,253.10 / $1,292.75	Professional		$1,197.49	$1,253.10	$1,292.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,651.00 / $29,571.00	Facility		$6,385.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.08 / $1,794.40 / $4,587.27	Professional		$1,256.08	$1,794.40	$4,587.27