Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,679.00 / $17,701.00	Facility		$1,256.22	$5,679.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.15 / $669.64 / $1,980.42	Professional		$590.15	$669.64	$1,980.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.38 / $958.20 / $1,867.51	Professional		$685.38	$958.20	$1,867.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,077.33	Facility		$66.00	$100.00	$5,077.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $484.94 / $732.36 / $1,693.36	Professional		$484.94	$732.36	$1,693.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,903.10 / $4,612.76 / $10,867.25	Facility		$3,903.10	$4,612.76	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.51 / $901.72 / $1,916.96	Professional		$698.51	$901.72	$1,916.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $578.92 / $825.89 / $1,114.95	Professional		$578.92	$825.89	$1,114.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.18 / $949.77 / $1,675.74	Professional		$735.18	$949.77	$1,675.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,045.80 / $17,524.30	Facility		$55.00	$4,045.80	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,290.72 / $5,421.36 / $6,129.08	Professional		$5,290.72	$5,421.36	$6,129.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.61 / $914.04 / $1,321.42	Facility		$716.61	$914.04	$1,321.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.78 / $939.29 / $1,914.29	Professional		$706.78	$939.29	$1,914.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,651.00 / $29,571.00	Facility		$6,366.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.62 / $869.90 / $2,308.15	Professional		$567.62	$869.90	$2,308.15