Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,829.00 / $18,252.00	Facility		$1,174.00	$5,829.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $285.97 / $363.93	Professional		$206.97	$285.97	$363.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,559.00 / $10,984.00	Facility		$2,097.00	$5,559.00	$10,984.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $188.91 / $291.89	Professional		$73.31	$188.91	$291.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $197.33 / $1,902.52	Facility		$70.50	$197.33	$1,902.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $254.68 / $568.45	Professional		$133.18	$254.68	$568.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,091.68 / $3,039.51	Facility		$633.00	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.63 / $1,428.12 / $1,428.12	Professional		$481.63	$1,428.12	$1,428.12
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 $128.61 / $289.43 / $545.92	Professional		$128.61	$289.43	$545.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,804.44 / $4,901.45 / $4,901.45	Facility		$1,804.44	$4,901.45	$4,901.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.60 / $2,314.16 / $2,772.00	Professional		$2,229.60	$2,314.16	$2,772.00
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 $150.61 / $309.38 / $509.99	Facility		$150.61	$309.38	$509.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $214.60 / $552.35	Professional		$135.85	$214.60	$552.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.73 / $3,928.00 / $9,131.00	Facility		$1,106.73	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $349.27 / $853.62	Professional		$243.32	$349.27	$853.62