Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,090.00 / $18,681.00	Facility		$1,992.00	$8,090.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.55 / $781.66 / $801.60	Professional		$723.55	$781.66	$801.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,830.00 / $19,951.00	Facility		$4,108.00	$9,830.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.01 / $417.88 / $817.64	Professional		$318.01	$417.88	$817.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,800.18	Facility		$66.00	$100.00	$4,800.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $264.23 / $571.77 / $1,266.29	Professional		$264.23	$571.77	$1,266.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,797.53 / $16,306.17 / $38,415.92	Facility		$13,797.53	$16,306.17	$38,415.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.85 / $915.54 / $1,828.17	Professional		$488.85	$915.54	$1,828.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15,312.99 / $15,312.99 / $16,078.64	Professional		$15,312.99	$15,312.99	$16,078.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.42 / $618.80 / $1,167.97	Professional		$270.42	$618.80	$1,167.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,626.20 / $61,948.80	Facility		$55.00	$2,626.20	$61,948.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,051.52 / $5,388.16 / $6,051.68	Professional		$5,051.52	$5,388.16	$6,051.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.50 / $739.32 / $1,113.63	Facility		$323.50	$739.32	$1,113.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.93 / $802.42 / $1,191.54	Professional		$240.93	$802.42	$1,191.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,330.00 / $45,545.00	Facility		$8,822.00	$18,330.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.20 / $963.60 / $2,674.74	Professional		$613.20	$963.60	$2,674.74