Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,909.00 / $10,406.00 / $22,788.00	Facility		$3,909.00	$10,406.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.47 / $586.70 / $748.15	Professional		$520.47	$586.70	$748.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,362.00 / $15,399.00	Facility		$3,242.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.13 / $1,257.69 / $2,014.74	Professional		$214.13	$1,257.69	$2,014.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $2,626.54	Facility		$65.80	$100.00	$2,626.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,197.00 / $13,534.00 / $23,091.00	Facility		$9,197.00	$13,534.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.25 / $459.10 / $614.14	Professional		$438.25	$459.10	$614.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17,251.16 / $17,251.16 / $18,113.72	Professional		$17,251.16	$17,251.16	$18,113.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,977.07 / $69,789.64 / $69,789.64	Facility		$5,977.07	$69,789.64	$69,789.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,181.28 / $4,300.24 / $5,012.10	Professional		$4,181.28	$4,300.24	$5,012.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.81 / $838.39 / $15,543.88	Facility		$660.81	$838.39	$15,543.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $445.58 / $535.44 / $614.14	Professional		$445.58	$535.44	$614.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,315.00 / $45,545.00	Facility		$8,822.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.48 / $729.32 / $1,769.19	Professional		$494.48	$729.32	$1,769.19