Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,029.00 / $20,135.00	Facility		$2,421.00	$9,029.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.66 / $830.63 / $1,328.41	Professional		$709.66	$830.63	$1,328.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.84 / $1,322.19 / $2,244.67	Professional		$944.84	$1,322.19	$2,244.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,674.20	Facility		$66.00	$100.00	$15,674.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,565.00 / $6,894.76 / $12,348.83	Facility		$5,565.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.36 / $1,784.02 / $3,365.31	Professional		$1,241.36	$1,784.02	$3,365.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,922.37 / $4,922.37 / $5,168.49	Professional		$4,922.37	$4,922.37	$5,168.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $2,270.00 / $5,137.00	Professional		$638.07	$2,270.00	$5,137.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,856.51 / $19,913.50	Facility		$55.00	$11,856.51	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,440.64 / $9,721.68 / $11,313.60	Professional		$9,440.64	$9,721.68	$11,313.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.46 / $1,786.56 / $2,308.06	Facility		$1,201.46	$1,786.56	$2,308.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,119.56 / $1,784.02 / $3,358.06	Professional		$1,119.56	$1,784.02	$3,358.06
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.23 / $1,057.79 / $2,521.42	Professional		$671.23	$1,057.79	$2,521.42