Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.54 / $9,674.00 / $20,135.00	Facility		$1,030.54	$9,674.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.91 / $1,030.54 / $3,738.51	Professional		$945.91	$1,030.54	$3,738.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,653.00 / $11,059.00 / $23,548.00	Facility		$4,653.00	$11,059.00	$23,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.45 / $1,359.89 / $2,946.37	Professional		$1,077.45	$1,359.89	$2,946.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,485.17	Facility		$63.90	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $795.87 / $1,138.61 / $2,263.03	Professional		$795.87	$1,138.61	$2,263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.81 / $1,372.27 / $2,831.45	Professional		$1,078.81	$1,372.27	$2,831.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.88 / $1,485.53 / $1,782.64	Professional		$912.88	$1,485.53	$1,782.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.09 / $1,726.62 / $3,163.36	Professional		$1,294.09	$1,726.62	$3,163.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,066.33 / $19,883.52	Facility		$55.00	$5,066.33	$19,883.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,913.44 / $10,159.68 / $13,012.88	Professional		$9,913.44	$10,159.68	$13,012.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,041.06 / $1,646.05 / $2,154.02	Facility		$1,041.06	$1,646.05	$2,154.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.98 / $1,458.77 / $2,859.93	Professional		$1,111.98	$1,458.77	$2,859.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,186.74 / $1,369.32 / $1,642.33	Professional		$1,186.74	$1,369.32	$1,642.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $5,319.00 / $17,075.00	Facility		$2,060.00	$5,319.00	$17,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.55 / $1,236.57 / $3,002.02	Professional		$861.55	$1,236.57	$3,002.02