Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $6,423.00 / $18,483.00	Facility		$1,038.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $135.55 / $172.05	Professional		$98.12	$135.55	$172.05
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 $126.58 / $158.94 / $223.20	Professional		$126.58	$158.94	$223.20
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 $107.89 / $154.13 / $317.26	Professional		$107.89	$154.13	$317.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,369.69 / $6,328.57	Facility		$633.00	$2,369.69	$6,328.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $679.76 / $679.76	Professional		$229.77	$679.76	$679.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,629.98 / $2,629.98 / $2,761.48	Professional		$2,629.98	$2,629.98	$2,761.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $166.11 / $269.73	Professional		$138.72	$166.11	$269.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $804.36 / $10,639.60 / $10,639.60	Facility		$804.36	$10,639.60	$10,639.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,063.52 / $1,235.40	Professional		$1,032.00	$1,063.52	$1,235.40
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 $135.44 / $182.16 / $238.77	Facility		$135.44	$182.16	$238.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $182.62 / $248.90	Professional		$129.78	$182.62	$248.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,866.71 / $4,030.00 / $12,135.00	Facility		$1,866.71	$4,030.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $163.56 / $349.32	Professional		$115.36	$163.56	$349.32