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 $1,119.61 / $1,252.76 / $2,442.94	Professional		$1,119.61	$1,252.76	$2,442.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $7,455.00 / $15,399.00	Facility		$3,518.00	$7,455.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.78 / $1,117.54 / $1,417.14	Professional		$1,005.78	$1,117.54	$1,417.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $4,147.41	Facility		$66.09	$100.00	$4,147.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $392.56 / $1,483.87 / $3,179.72	Professional		$392.56	$1,483.87	$3,179.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,879.46 / $12,204.00 / $20,519.00	Facility		$5,879.46	$12,204.00	$20,519.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $407.81 / $2,422.96	Professional		$326.25	$407.81	$2,422.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,521.36 / $5,521.36 / $5,797.43	Professional		$5,521.36	$5,521.36	$5,797.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.46 / $1,357.27 / $3,243.31	Professional		$406.46	$1,357.27	$3,243.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,488.79 / $22,336.70 / $22,523.38	Facility		$17,488.79	$22,336.70	$22,523.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,573.20 / $12,873.92 / $14,655.45	Professional		$11,573.20	$12,873.92	$14,655.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.91 / $1,938.42 / $3,763.10	Facility		$469.91	$1,938.42	$3,763.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $463.32 / $2,543.77	Professional		$348.75	$463.32	$2,543.77
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 $1,099.14 / $1,642.39 / $3,887.70	Professional		$1,099.14	$1,642.39	$3,887.70