Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,823.00 / $16,713.00	Facility		$1,539.00	$5,823.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $2,792.59 / $5,224.29	Professional		$207.03	$2,792.59	$5,224.29
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 $259.60 / $3,550.11 / $7,712.45	Professional		$259.60	$3,550.11	$7,712.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,121.35	Facility		$66.00	$100.00	$4,121.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $881.35 / $5,916.13	Professional		$223.04	$881.35	$5,916.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,336.09 / $6,306.29 / $14,857.08	Facility		$5,336.09	$6,306.29	$14,857.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $3,186.61 / $7,810.63	Professional		$256.61	$3,186.61	$7,810.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $2,936.70 / $4,647.76	Professional		$269.04	$2,936.70	$4,647.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $2,506.55 / $5,060.80	Professional		$243.60	$2,506.55	$5,060.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,654.92 / $1,694.22	Facility		$55.00	$1,654.92	$1,694.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.24 / $18,993.91 / $22,407.53	Professional		$1,754.24	$18,993.91	$22,407.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,242.98 / $2,242.98 / $3,738.30	Professional		$2,242.98	$2,242.98	$3,738.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.42 / $2,427.48 / $4,699.32	Facility		$274.42	$2,427.48	$4,699.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.05 / $3,399.44 / $8,179.18	Professional		$267.05	$3,399.44	$8,179.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $244.43 / $2,936.70 / $4,405.05	Professional		$244.43	$2,936.70	$4,405.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,744.57 / $4,116.84 / $12,665.87	Professional		$2,744.57	$4,116.84	$12,665.87