Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $11,257.00 / $23,756.00	Facility		$2,843.00	$11,257.00	$23,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $588.69 / $1,843.21	Professional		$528.73	$588.69	$1,843.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.58 / $818.92 / $1,725.68	Professional		$601.58	$818.92	$1,725.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $2,931.91	Facility		$66.00	$100.00	$2,931.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $445.91 / $676.74 / $1,574.71	Professional		$445.91	$676.74	$1,574.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,353.28 / $15,781.15 / $37,179.01	Facility		$13,353.28	$15,781.15	$37,179.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.46 / $814.75 / $1,762.70	Professional		$629.46	$814.75	$1,762.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $516.38 / $746.01 / $1,007.11	Professional		$516.38	$746.01	$1,007.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $848.64 / $1,496.92	Professional		$652.79	$848.64	$1,496.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,566.52 / $59,954.15	Facility		$55.00	$3,566.52	$59,954.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,664.64 / $4,799.12 / $5,418.75	Professional		$4,664.64	$4,799.12	$5,418.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $638.09 / $816.50 / $1,193.61	Facility		$638.09	$816.50	$1,193.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.35 / $846.37 / $1,750.71	Professional		$646.35	$846.37	$1,750.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $516.38 / $722.93 / $877.85	Professional		$516.38	$722.93	$877.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $29,571.00	Facility		$6,385.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $755.16 / $2,195.96	Professional		$519.11	$755.16	$2,195.96