Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,829.00 / $17,902.00	Facility		$1,174.00	$5,829.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.19 / $243.42 / $332.34	Professional		$219.19	$243.42	$332.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.04 / $315.92 / $607.41	Professional		$241.04	$315.92	$607.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,591.57	Facility		$67.90	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $262.06 / $572.83	Professional		$179.96	$262.06	$572.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $1,654.75 / $4,904.76	Facility		$351.29	$1,654.75	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.83 / $311.24 / $646.05	Professional		$233.83	$311.24	$646.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.09 / $1,955.09 / $2,052.84	Professional		$1,955.09	$1,955.09	$2,052.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $510.00 / $839.00	Professional		$381.00	$510.00	$839.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,903.51 / $7,909.30	Facility		$55.00	$6,903.51	$7,909.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.48 / $1,800.24 / $2,091.53	Professional		$1,746.48	$1,800.24	$2,091.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $280.36	Professional		$60.00	$85.00	$280.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.88 / $323.60 / $448.22	Facility		$238.88	$323.60	$448.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $307.95 / $641.23	Professional		$233.70	$307.95	$641.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $6,955.00 / $16,173.00	Facility		$3,087.00	$6,955.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $266.38 / $610.35	Professional		$194.80	$266.38	$610.35