Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.00 / $5,570.00 / $17,133.00	Facility		$1,841.00	$5,570.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,044.65 / $3,406.72 / $7,580.00	Professional		$3,044.65	$3,406.72	$7,580.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $8,616.00 / $16,838.00	Facility		$3,738.00	$8,616.00	$16,838.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.35 / $3,427.58 / $5,644.12	Professional		$380.35	$3,427.58	$5,644.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $2,960.20	Facility		$66.90	$100.00	$2,960.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $824.54 / $4,620.16	Professional		$211.90	$824.54	$4,620.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $993.04 / $993.04 / $1,042.69	Professional		$993.04	$993.04	$1,042.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $1,793.79 / $4,332.70	Professional		$215.76	$1,793.79	$4,332.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,045.30 / $22,083.11 / $24,942.19	Facility		$18,045.30	$22,083.11	$24,942.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,728.18 / $22,396.80 / $23,765.40	Professional		$21,728.18	$22,396.80	$23,765.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.14 / $2,785.24 / $4,263.97	Facility		$246.14	$2,785.24	$4,263.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.12 / $360.06 / $3,403.40	Professional		$205.12	$360.06	$3,403.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,106.51 / $9,131.00	Facility		$2,212.00	$4,106.51	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,898.85 / $4,141.18 / $10,572.05	Professional		$2,898.85	$4,141.18	$10,572.05