Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,264.00 / $17,054.00	Facility		$1,539.00	$6,264.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.51 / $347.43 / $444.68	Professional		$310.51	$347.43	$444.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,847.00 / $10,536.00	Facility		$2,143.00	$4,847.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $175.16 / $280.26	Professional		$104.70	$175.16	$280.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $3,962.42	Facility		$66.90	$100.00	$3,962.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $510.74 / $974.85	Professional		$357.52	$510.74	$974.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,490.22 / $4,498.17 / $8,042.19	Facility		$4,490.22	$4,498.17	$8,042.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,205.70 / $3,205.70 / $3,365.99	Professional		$3,205.70	$3,205.70	$3,365.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.67 / $601.28 / $919.33	Professional		$459.67	$601.28	$919.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.85 / $12,968.70 / $12,968.70	Facility		$1,726.85	$12,968.70	$12,968.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.67 / $2,815.76 / $3,183.83	Professional		$2,571.67	$2,815.76	$3,183.83
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 $427.92 / $614.47 / $789.80	Facility		$427.92	$614.47	$789.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.40 / $503.44 / $1,646.42	Professional		$490.40	$503.44	$1,646.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $401.28 / $804.87	Professional		$293.45	$401.28	$804.87