Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $5,382.00 / $17,054.00	Facility		$1,023.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $153.32 / $794.53	Professional		$128.54	$153.32	$794.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $213.38 / $411.41	Professional		$158.38	$213.38	$411.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $162.94 / $379.27	Professional		$113.15	$162.94	$379.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.16 / $697.48 / $1,643.20	Facility		$590.16	$697.48	$1,643.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $211.81 / $676.00	Professional		$144.59	$211.81	$676.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $655.00 / $687.75	Professional		$655.00	$655.00	$687.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $490.00 / $676.00	Professional		$455.00	$490.00	$676.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $2,649.80 / $12,000.00	Facility		$1,038.06	$2,649.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $1,992.01 / $2,046.59	Professional		$1,900.00	$1,992.01	$2,046.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $200.32 / $287.39	Facility		$160.66	$200.32	$287.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $211.81 / $676.00	Professional		$146.07	$211.81	$676.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,804.00 / $9,380.00	Facility		$1,410.00	$2,804.00	$9,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $161.28 / $430.34	Professional		$105.14	$161.28	$430.34