Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,505.00 / $18,681.00	Facility		$1,390.35	$6,505.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $366.97 / $469.25	Professional		$265.58	$366.97	$469.25
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 $163.63 / $242.46 / $365.83	Professional		$163.63	$242.46	$365.83
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
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 $618.87 / $1,833.48 / $1,833.48	Professional		$618.87	$1,833.48	$1,833.48
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 $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,014.80 / $4,901.45 / $4,901.45	Facility		$2,014.80	$4,901.45	$4,901.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,584.16 / $2,863.76 / $3,336.38	Professional		$2,584.16	$2,863.76	$3,336.38
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 $352.43 / $458.62 / $628.19	Facility		$352.43	$458.62	$628.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.27 / $379.56 / $1,833.48	Professional		$366.27	$379.56	$1,833.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.73 / $3,964.00 / $9,131.00	Facility		$1,106.73	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $442.86 / $941.26	Professional		$312.20	$442.86	$941.26