Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,516.00 / $18,681.00	Facility		$1,390.35	$6,516.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.67 / $304.33 / $434.50	Professional		$273.67	$304.33	$434.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.47 / $377.57 / $759.70	Professional		$301.47	$377.57	$759.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,276.48	Facility		$67.90	$100.00	$9,276.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.95 / $327.52 / $716.03	Professional		$224.95	$327.52	$716.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $922.58 / $2,312.23	Facility		$629.00	$922.58	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $385.33 / $807.48	Professional		$291.82	$385.33	$807.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $921.68 / $921.68 / $967.76	Professional		$921.68	$921.68	$967.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $638.07 / $1,061.00	Professional		$482.00	$638.07	$1,061.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,254.48 / $3,728.65	Facility		$55.00	$3,254.48	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,185.92 / $2,251.36 / $2,619.44	Professional		$2,185.92	$2,251.36	$2,619.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $918.53	Professional		$60.00	$85.00	$918.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.01 / $397.22 / $560.92	Facility		$291.01	$397.22	$560.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $379.80 / $799.73	Professional		$283.81	$379.80	$799.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $3,964.00 / $9,131.00	Facility		$1,067.58	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $335.88 / $772.38	Professional		$245.56	$335.88	$772.38