Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $18,252.00	Facility		$2,387.00	$6,880.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.13 / $1,047.04 / $5,204.64	Professional		$930.13	$1,047.04	$5,204.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,311.00 / $19,733.00	Facility		$3,294.00	$9,311.00	$19,733.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.80 / $1,821.08 / $3,453.09	Professional		$1,372.80	$1,821.08	$3,453.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $14,117.38	Facility		$63.50	$98.70	$14,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $788.96 / $1,203.46 / $2,635.10	Professional		$788.96	$1,203.46	$2,635.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $12,000.00	Facility		$12,000.00	$12,000.00	$12,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.20 / $1,516.32 / $5,225.58	Professional		$1,011.20	$1,516.32	$5,225.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.23 / $588.23 / $588.23	Professional		$588.23	$588.23	$588.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.04 / $1,368.01 / $2,517.14	Professional		$958.04	$1,368.01	$2,517.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,068.14 / $10,288.17	Facility		$55.00	$8,068.14	$10,288.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,307.50 / $15,307.50 / $15,307.50	Professional		$15,307.50	$15,307.50	$15,307.50
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 Facility Modifier Low / Median / High Price $995.39 / $1,295.86 / $1,809.46	Facility		$995.39	$1,295.86	$1,809.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,011.20 / $1,516.32 / $4,955.10	Professional		$1,011.20	$1,516.32	$4,955.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $588.23 / $883.87 / $1,215.32	Professional		$588.23	$883.87	$1,215.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,830.00 / $21,358.00	Facility		$2,047.00	$5,830.00	$21,358.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.38 / $1,215.60 / $3,385.77	Professional		$820.38	$1,215.60	$3,385.77