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 $209.80 / $251.12 / $320.33	Professional		$209.80	$251.12	$320.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,534.00 / $16,460.00	Facility		$3,222.00	$7,534.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $342.62 / $565.32	Professional		$141.76	$342.62	$565.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $2,605.28	Facility		$66.90	$100.00	$2,605.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,145.00 / $23,202.84 / $41,557.33	Facility		$11,145.00	$23,202.84	$41,557.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.49 / $196.41 / $229.06	Professional		$187.49	$196.41	$229.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,565.18 / $16,565.18 / $17,393.45	Professional		$16,565.18	$16,565.18	$17,393.45
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 $1,394.88 / $67,014.55 / $67,014.55	Facility		$1,394.88	$67,014.55	$67,014.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,788.72 / $1,840.00 / $2,142.90	Professional		$1,788.72	$1,840.00	$2,142.90
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 $282.33 / $315.29 / $415.18	Facility		$282.33	$315.29	$415.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.63 / $229.06 / $1,134.00	Professional		$190.63	$229.06	$1,134.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $289.91 / $621.15	Professional		$211.68	$289.91	$621.15