Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $7,281.00 / $20,509.00	Facility		$1,587.51	$7,281.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.20 / $863.79 / $1,036.85	Professional		$625.20	$863.79	$1,036.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.90 / $1,035.21 / $1,905.80	Professional		$389.90	$1,035.21	$1,905.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $197.33 / $2,428.96	Facility		$70.50	$197.33	$2,428.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $189.79 / $697.46 / $1,588.23	Professional		$189.79	$697.46	$1,588.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,091.68 / $4,198.00	Facility		$643.00	$1,091.68	$4,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.62 / $4,328.07 / $4,328.07	Professional		$1,459.62	$4,328.07	$4,328.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.58 / $1,211.58 / $1,272.16	Professional		$1,211.58	$1,211.58	$1,272.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $638.07 / $1,525.32	Professional		$184.14	$638.07	$1,525.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,268.39 / $5,223.20 / $5,373.50	Facility		$4,268.39	$5,223.20	$5,373.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,567.60 / $6,755.28 / $7,869.15	Professional		$6,567.60	$6,755.28	$7,869.15
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 $215.17 / $910.89 / $1,389.41	Facility		$215.17	$910.89	$1,389.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $307.18 / $1,526.14	Professional		$193.59	$307.18	$1,526.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,952.00 / $9,131.00	Facility		$1,540.00	$3,952.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $1,045.53 / $2,233.33	Professional		$735.00	$1,045.53	$2,233.33