Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,464.00 / $21,861.00	Facility		$2,387.00	$9,464.00	$21,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $2,634.07 / $7,109.96	Professional		$150.81	$2,634.07	$7,109.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $312.33 / $7,381.51	Professional		$213.76	$312.33	$7,381.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $243.51 / $333.52 / $4,567.93	Professional	50	$243.51	$333.52	$4,567.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $3,634.12	Facility		$66.00	$100.00	$3,634.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $612.15 / $5,401.99	Professional		$155.21	$612.15	$5,401.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,311.61 / $6,277.36 / $14,788.91	Facility		$5,311.61	$6,277.36	$14,788.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $673.95 / $5,892.46	Professional		$176.75	$673.95	$5,892.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $2,686.89 / $4,200.87	Professional		$191.05	$2,686.89	$4,200.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $2,258.44 / $4,574.46	Professional		$171.95	$2,258.44	$4,574.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,156.92 / $1,183.44	Facility		$55.00	$1,156.92	$1,183.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.68 / $17,219.71 / $20,156.09	Professional		$1,225.68	$17,219.71	$20,156.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.03 / $2,461.14 / $4,247.71	Facility		$190.03	$2,461.14	$4,247.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $673.95 / $6,403.73	Professional		$184.74	$673.95	$6,403.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $2,686.89 / $4,030.33	Professional		$173.51	$2,686.89	$4,030.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,496.21 / $3,714.56 / $11,395.92	Professional		$2,496.21	$3,714.56	$11,395.92