Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $11,220.18 / $23,442.29	Facility		$5,623.41	$11,220.18	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $5,370.32	Professional		$1,000.00	$1,318.26	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,125.38 / $26,915.35	Facility		$8,511.38	$14,125.38	$26,915.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,715.35	Professional		$1,348.96	$1,862.09	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $3,019.95	Professional		$891.25	$1,318.26	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,884.03	Professional		$1,071.52	$1,318.26	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,230.27	Professional		$891.25	$954.99	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,995.26	Professional		$812.83	$1,047.13	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $8,912.51	Professional		$7,413.10	$8,912.51	$8,912.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,862.09	Facility		$933.25	$1,258.93	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,884.03	Professional		$1,071.52	$1,318.26	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,513.56	Professional		$776.25	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,818.38	Professional		$912.01	$1,348.96	$2,818.38