Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,545.00 / $17,380.00	Facility		$1,208.95	$5,545.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.56 / $587.64 / $710.99	Professional		$483.56	$587.64	$710.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,393.00 / $21,510.00	Facility		$3,738.00	$11,393.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $897.63 / $1,470.16	Professional		$367.48	$897.63	$1,470.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $322.14 / $649.51	Professional		$231.00	$322.14	$649.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $6,500.00 / $6,500.00	Facility		$6,500.00	$6,500.00	$6,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.46 / $735.50 / $1,492.92	Professional		$567.46	$735.50	$1,492.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $326.30 / $391.56	Professional		$258.75	$326.30	$391.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $382.01 / $880.06	Professional		$305.61	$382.01	$880.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $7,887.32 / $9,891.56	Facility		$5,897.00	$7,887.32	$9,891.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,334.47 / $4,441.28 / $5,192.93	Professional		$4,334.47	$4,441.28	$5,192.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $508.85	Professional		$60.00	$70.00	$508.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.73 / $455.36 / $943.74	Facility		$366.73	$455.36	$943.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.98 / $715.00 / $1,471.50	Professional		$529.98	$715.00	$1,471.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $378.83 / $489.45	Professional		$275.51	$378.83	$489.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,331.00 / $10,156.00 / $28,573.00	Facility		$5,331.00	$10,156.00	$28,573.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $315.02 / $665.88	Professional		$230.43	$315.02	$665.88