Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $22.89 / $46.48	Professional		$21.19	$22.89	$46.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,597.00 / $9,274.00	Facility		$2,143.00	$4,597.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $25.08 / $50.00	Professional		$10.43	$25.08	$50.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,122.07	Facility		$66.00	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $60.81 / $116.07	Professional		$42.57	$60.81	$116.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.11 / $195.13 / $459.72	Facility		$165.11	$195.13	$459.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $54.63 / $195.00	Professional		$25.06	$54.63	$195.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $183.25 / $192.41	Professional		$183.25	$183.25	$192.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $58.78 / $103.38	Professional		$41.29	$58.78	$103.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $212.76 / $741.35	Facility		$55.00	$212.76	$741.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $409.44 / $467.10	Professional		$333.00	$409.44	$467.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $59.44 / $84.53	Facility		$40.54	$59.44	$84.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $54.63 / $103.01	Professional		$36.35	$54.63	$103.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $49.47 / $72.59	Professional		$40.47	$49.47	$72.59
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,523.00 / $6,323.00	Facility		$510.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $29.16 / $82.70	Professional		$18.48	$29.16	$82.70