Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,538.00	Facility		$1,919.00	$6,342.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.61 / $655.99 / $682.63	Professional		$613.61	$655.99	$682.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,952.00 / $10,705.00	Facility		$2,143.00	$4,952.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $108.89 / $725.39	Professional		$45.00	$108.89	$725.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $3,693.94	Facility		$66.00	$100.00	$3,693.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $52.60 / $99.51	Professional		$29.70	$52.60	$99.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $548.04 / $1,553.70	Professional		$225.00	$548.04	$1,553.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,320.83 / $2,320.83 / $2,436.87	Professional		$2,320.83	$2,320.83	$2,436.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $49.71 / $80.48	Professional		$28.87	$49.71	$80.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $671.56 / $9,388.90	Facility		$55.00	$671.56	$9,388.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,914.08 / $3,914.08 / $3,914.08	Professional		$3,914.08	$3,914.08	$3,914.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $54.68 / $424.05	Facility		$33.74	$54.68	$424.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $63.12 / $730.69	Professional		$29.70	$63.12	$730.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $16,148.00	Facility		$3,523.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.55 / $815.00 / $2,150.63	Professional		$503.55	$815.00	$2,150.63