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 $486.01 / $516.66 / $675.16	Professional		$486.01	$516.66	$675.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.91 / $887.76 / $1,618.02	Professional		$345.91	$887.76	$1,618.02
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 $249.98 / $357.00 / $720.66	Professional		$249.98	$357.00	$720.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,340.00 / $4,340.00 / $4,340.00	Facility		$4,340.00	$4,340.00	$4,340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.23 / $699.05 / $1,477.78	Professional		$539.23	$699.05	$1,477.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $244.60 / $308.45 / $370.15	Professional		$244.60	$308.45	$370.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.91 / $429.21 / $951.74	Professional		$335.91	$429.21	$951.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $7,495.60 / $9,392.60	Facility		$5,897.00	$7,495.60	$9,392.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,119.04 / $4,216.88 / $4,935.14	Professional		$4,119.04	$4,216.88	$4,935.14
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 $417.41 / $499.84 / $896.70	Facility		$417.41	$499.84	$896.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.39 / $681.12 / $1,398.54	Professional		$503.39	$681.12	$1,398.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $312.77 / $366.90 / $462.69	Professional		$312.77	$366.90	$462.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $9,810.00 / $29,705.00	Facility		$5,350.00	$9,810.00	$29,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.18 / $343.35 / $714.18	Professional		$254.18	$343.35	$714.18