Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,639.00 / $19,331.00	Facility		$2,421.00	$8,639.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $678.30 / $1,474.83	Professional		$592.82	$678.30	$1,474.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $10,934.00 / $22,386.00	Facility		$2,456.00	$10,934.00	$22,386.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.10 / $976.60 / $1,775.07	Professional		$711.10	$976.60	$1,775.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,607.45	Facility		$66.00	$100.00	$14,607.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.86 / $668.37 / $1,489.26	Professional		$467.86	$668.37	$1,489.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.60 / $1,726.46 / $2,353.27	Facility		$1,071.60	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.45 / $860.81 / $1,957.18	Professional		$625.45	$860.81	$1,957.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.21 / $1,267.65 / $1,702.52	Professional		$1,005.21	$1,267.65	$1,702.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.14 / $970.58 / $1,906.06	Professional		$738.14	$970.58	$1,906.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,533.30 / $11,500.00 / $26,542.00	Facility		$3,533.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,485.00 / $5,602.08 / $6,513.60	Professional		$5,485.00	$5,602.08	$6,513.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.88 / $1,009.30 / $1,725.83	Facility		$787.88	$1,009.30	$1,725.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $618.66 / $875.64 / $1,998.18	Professional		$618.66	$875.64	$1,998.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $841.10 / $1,306.77 / $2,155.01	Professional		$841.10	$1,306.77	$2,155.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.66 / $755.23 / $1,776.01	Professional		$563.66	$755.23	$1,776.01