Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,695.00 / $17,393.00	Facility		$1,587.51	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.57 / $951.91 / $1,218.00	Professional		$811.57	$951.91	$1,218.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.00 / $8,484.00 / $16,676.00	Facility		$3,534.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.57 / $1,234.51 / $2,018.16	Professional		$986.57	$1,234.51	$2,018.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $3,202.50	Facility		$66.90	$100.00	$3,202.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $514.77 / $735.39 / $1,406.29	Professional		$514.77	$735.39	$1,406.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $5,839.03 / $7,958.95	Facility		$705.31	$5,839.03	$7,958.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,758.07 / $5,758.07 / $6,045.97	Professional		$5,758.07	$5,758.07	$6,045.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.66 / $820.30 / $1,404.59	Professional		$623.66	$820.30	$1,404.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,503.84 / $21,224.52 / $23,294.30	Facility		$4,503.84	$21,224.52	$23,294.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,071.44 / $6,411.84 / $6,922.65	Professional		$6,071.44	$6,411.84	$6,922.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $888.90 / $1,361.23	Facility		$713.43	$888.90	$1,361.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.72 / $735.39 / $1,181.61	Professional		$689.72	$735.39	$1,181.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,120.00 / $14,636.00	Facility		$3,842.00	$7,120.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.04 / $1,056.90 / $2,472.77	Professional		$810.04	$1,056.90	$2,472.77