Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $7,413.10	Professional		$954.99	$1,258.93	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $18,197.01	Facility		$6,456.54	$11,481.54	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,235.94	Professional		$1,096.48	$1,548.82	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,951.21	Professional		$1,047.13	$1,348.96	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,754.23	Professional		$1,096.48	$1,380.38	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,621.81	Professional		$912.01	$1,348.96	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,951.21	Professional		$1,174.90	$1,548.82	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,498.45	Facility		$54.95	$56.23	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,882.50 / $12,882.50	Professional		$10,000.00	$12,882.50	$12,882.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,995.26	Facility		$1,071.52	$1,479.11	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,754.23	Professional		$1,096.48	$1,380.38	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,548.82	Professional		$912.01	$1,288.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,398.83	Professional		$891.25	$1,258.93	$2,398.83