Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,550.00 / $22,788.00	Facility		$3,546.09	$10,550.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $402.48 / $1,205.33	Professional		$365.52	$402.48	$1,205.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $15,357.00 / $37,532.26	Facility		$5,540.00	$15,357.00	$37,532.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.07 / $670.43 / $1,297.50	Professional		$525.07	$670.43	$1,297.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $276.80 / $412.46 / $871.63	Professional		$276.80	$412.46	$871.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.50 / $515.24 / $1,115.95	Professional		$419.50	$515.24	$1,115.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $434.28 / $529.41	Professional		$352.94	$434.28	$529.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.76 / $499.96 / $916.59	Professional		$392.76	$499.96	$916.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $939.99 / $1,978.99	Facility		$55.00	$939.99	$1,978.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,955.84 / $3,035.92 / $3,574.80	Professional		$2,955.84	$3,035.92	$3,574.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.62 / $510.59 / $697.18	Facility		$404.62	$510.59	$697.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $518.28 / $1,173.77	Professional		$416.63	$518.28	$1,173.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $458.82 / $600.00	Professional		$352.94	$458.82	$600.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.30 / $529.53 / $1,120.04	Professional		$358.30	$529.53	$1,120.04