Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,423.00 / $17,902.00	Facility		$1,919.00	$6,423.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.96 / $737.43 / $2,939.40	Professional		$698.96	$737.43	$2,939.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,707.00	Facility		$2,143.00	$6,048.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $1,135.08 / $2,212.30	Professional		$811.91	$1,135.08	$2,212.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,322.51	Facility		$66.00	$100.00	$7,322.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $574.94 / $867.57 / $2,002.79	Professional		$574.94	$867.57	$2,002.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,714.50 / $12,662.59 / $29,831.95	Facility		$10,714.50	$12,662.59	$29,831.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.75 / $1,069.10 / $2,272.73	Professional		$814.75	$1,069.10	$2,272.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $685.78 / $973.96 / $1,314.85	Professional		$685.78	$973.96	$1,314.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.22 / $1,120.05 / $1,980.90	Professional		$870.22	$1,120.05	$1,980.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,796.52 / $48,106.45	Facility		$55.00	$4,796.52	$48,106.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,269.28 / $6,423.52 / $7,264.28	Professional		$6,269.28	$6,423.52	$7,264.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.56 / $1,080.49 / $1,558.34	Facility		$847.56	$1,080.49	$1,558.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.24 / $1,113.65 / $2,271.64	Professional		$837.24	$1,113.65	$2,271.64
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $18,191.00 / $45,545.00	Facility		$8,822.00	$18,191.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.58 / $1,026.55 / $2,754.24	Professional		$673.58	$1,026.55	$2,754.24