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 / $19,011.00	Facility		$1,992.00	$8,090.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.91 / $615.46 / $988.68	Professional		$521.91	$615.46	$988.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.72 / $789.23 / $1,588.00	Professional		$617.72	$789.23	$1,588.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,907.12	Facility		$66.00	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $437.21 / $629.58 / $1,465.45	Professional		$437.21	$629.58	$1,465.45
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 $561.34 / $716.54 / $1,539.40	Professional		$561.34	$716.54	$1,539.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $183.54 / $2,320.83	Professional		$183.54	$183.54	$2,320.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.02 / $892.00 / $1,491.33	Professional		$739.02	$892.00	$1,491.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,075.19 / $9,388.90 / $26,542.00	Facility		$2,075.19	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,782.60 / $5,976.81 / $5,976.81	Professional		$4,782.60	$5,976.81	$5,976.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.54 / $898.53 / $1,195.33	Facility		$716.54	$898.53	$1,195.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.20 / $731.26 / $1,517.76	Professional		$571.20	$731.26	$1,517.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $330.38 / $909.49	Professional		$183.54	$330.38	$909.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.82 / $966.88 / $2,427.39	Professional		$573.82	$966.88	$2,427.39