Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $388.60 / $418.76	Professional		$307.10	$388.60	$418.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,597.00 / $9,274.00	Facility		$2,143.00	$4,597.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $508.64 / $974.73	Professional		$120.19	$508.64	$974.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,912.24	Facility		$66.00	$100.00	$1,912.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $231.92 / $331.31 / $807.63	Professional		$231.92	$331.31	$807.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.02 / $563.75 / $1,328.15	Facility		$477.02	$563.75	$1,328.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.48 / $530.96 / $962.34	Professional		$338.48	$530.96	$962.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $529.41 / $529.41 / $555.88	Professional		$529.41	$529.41	$555.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $285.89 / $539.12	Professional		$102.46	$285.89	$539.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,516.88 / $3,023.12 / $3,079.52	Facility		$2,516.88	$3,023.12	$3,079.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,375.60 / $2,419.84 / $2,900.33	Professional		$2,375.60	$2,419.84	$2,900.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.25 / $337.73 / $510.64	Facility		$121.25	$337.73	$510.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $460.48 / $921.69	Professional		$127.21	$460.48	$921.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $122.52 / $422.39	Professional		$100.24	$122.52	$422.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.16 / $2,699.00 / $7,655.00	Facility		$1,141.16	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $446.47 / $1,130.30	Professional		$258.10	$446.47	$1,130.30