Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,498.00 / $8,756.00 / $20,509.00	Facility		$3,498.00	$8,756.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,615.56 / $3,643.73 / $4,362.93	Professional		$2,615.56	$3,643.73	$4,362.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,576.00 / $11,456.00	Facility		$1,516.00	$4,576.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,356.96 / $1,614.78 / $2,537.51	Professional		$1,356.96	$1,614.78	$2,537.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $197.33 / $4,123.53	Facility		$70.50	$197.33	$4,123.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $752.67 / $2,765.99 / $6,627.98	Professional		$752.67	$2,765.99	$6,627.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $5,662.00 / $31,695.83	Facility		$643.00	$5,662.00	$31,695.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,665.76 / $6,665.76 / $6,665.76	Professional		$6,665.76	$6,665.76	$6,665.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13,171.92 / $13,171.92 / $13,830.52	Professional		$13,171.92	$13,171.92	$13,830.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.67 / $2,496.26 / $6,299.30	Professional		$732.67	$2,496.26	$6,299.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,792.60 / $53,287.10 / $53,287.10	Facility		$21,792.60	$53,287.10	$53,287.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,371.29 / $27,944.72 / $33,483.08	Professional		$16,371.29	$27,944.72	$33,483.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.24 / $3,817.70 / $5,948.36	Facility		$858.24	$3,817.70	$5,948.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.67 / $1,252.56 / $6,446.97	Professional		$732.67	$1,252.56	$6,446.97
United Facility/Professional Facility Modifier Low / Median / High Price $12,859.28 / $12,859.28 / $13,512.89	Facility		$12,859.28	$12,859.28	$13,512.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,266.57 / $4,262.89 / $9,239.07	Professional		$3,266.57	$4,262.89	$9,239.07