Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,423.00 / $17,538.00	Facility		$1,919.00	$6,423.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $390.11 / $1,689.61	Professional		$361.23	$390.11	$1,689.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.38 / $555.40 / $1,184.24	Professional		$412.38	$555.40	$1,184.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $3,962.42	Facility		$66.00	$100.00	$3,962.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $304.64 / $464.41 / $1,075.85	Professional		$304.64	$464.41	$1,075.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,994.94 / $2,357.66 / $5,554.45	Facility		$1,994.94	$2,357.66	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.82 / $566.45 / $1,204.29	Professional		$438.82	$566.45	$1,204.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $562.66 / $759.60	Professional		$385.70	$562.66	$759.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.59 / $631.27 / $1,119.07	Professional		$485.59	$631.27	$1,119.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,636.88 / $8,957.00	Facility		$55.00	$2,636.88	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,452.72 / $3,557.04 / $4,013.18	Professional		$3,452.72	$3,557.04	$4,013.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.93 / $610.40 / $839.31	Facility		$475.93	$610.40	$839.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.97 / $607.41 / $1,203.72	Professional		$446.97	$607.41	$1,203.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $385.70 / $539.98 / $655.69	Professional		$385.70	$539.98	$655.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $22,073.00	Facility		$4,509.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.39 / $537.07 / $1,376.71	Professional		$353.39	$537.07	$1,376.71