Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,310.00 / $16,573.00	Facility		$1,256.22	$5,310.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $333.60 / $1,368.94	Professional		$112.00	$333.60	$1,368.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,000.00 / $16,000.00 / $16,000.00	Professional		$16,000.00	$16,000.00	$16,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $100.00 / $1,596.84	Facility		$59.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $75.56 / $114.42	Professional		$57.97	$75.56	$114.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,000.00 / $15,000.00 / $15,000.00	Professional		$15,000.00	$15,000.00	$15,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15,000.00 / $15,000.00 / $15,000.00	Professional		$15,000.00	$15,000.00	$15,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $250.00 / $1,619.00	Professional		$120.00	$250.00	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15,000.00 / $15,000.00 / $15,000.00	Professional		$15,000.00	$15,000.00	$15,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00