Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,344.23 / $6,165.95	Professional		$151.36	$2,344.23	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $3,630.78 / $8,709.64	Professional		$194.98	$3,630.78	$8,709.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $851.14 / $6,918.31	Facility		$66.07	$851.14	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,737.80 / $7,079.46	Professional		$173.78	$1,737.80	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,309.57	Facility		$5,370.32	$5,370.32	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,630.27 / $6,309.57	Professional		$190.55	$2,630.27	$6,309.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $2,884.03 / $4,466.84	Professional		$165.96	$2,884.03	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,511.89 / $5,011.87	Professional		$151.36	$2,511.89	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $21,877.62 / $21,877.62	Professional		$18,620.87	$21,877.62	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Professional		$2,187.76	$2,187.76	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,344.23 / $4,897.79	Facility		$173.78	$2,344.23	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,187.76 / $6,456.54	Professional		$190.55	$2,187.76	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,951.21 / $4,897.79	Professional		$151.36	$2,951.21	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $25,703.96	Facility		$6,456.54	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $2,454.71 / $6,456.54	Professional		$165.96	$2,454.71	$6,456.54