Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.26 / $9,690.00 / $21,960.90	Facility		$542.26	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.43 / $599.55 / $1,725.00	Professional		$509.43	$599.55	$1,725.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.00 / $13,255.00 / $35,774.62	Facility		$4,662.00	$13,255.00	$35,774.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.37 / $815.72 / $1,548.02	Professional		$622.37	$815.72	$1,548.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,485.17	Facility		$64.00	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $400.67 / $597.42 / $1,172.13	Professional		$400.67	$597.42	$1,172.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,197.00 / $10,786.00 / $23,937.00	Facility		$9,197.00	$10,786.00	$23,937.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.14 / $717.13 / $1,546.46	Professional		$577.14	$717.13	$1,546.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.03 / $587.04 / $717.05	Professional		$478.03	$587.04	$717.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.35 / $683.35 / $1,243.40	Professional		$528.35	$683.35	$1,243.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,787.43 / $7,176.40	Facility		$55.00	$5,787.43	$7,176.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,996.00 / $4,103.84 / $4,836.38	Professional		$3,996.00	$4,103.84	$4,836.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.02 / $690.39 / $1,063.43	Facility		$547.02	$690.39	$1,063.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $718.40 / $1,546.46	Professional		$581.41	$718.40	$1,546.46
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 $472.36 / $696.70 / $1,668.39	Professional		$472.36	$696.70	$1,668.39