Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,538.00	Facility		$1,919.00	$6,342.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.41 / $444.58 / $1,928.77	Professional		$412.41	$444.58	$1,928.77
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 $469.26 / $632.98 / $1,349.61	Professional		$469.26	$632.98	$1,349.61
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 $347.82 / $529.26 / $1,228.29	Professional		$347.82	$529.26	$1,228.29
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 $501.00 / $646.73 / $1,374.93	Professional		$501.00	$646.73	$1,374.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $623.22 / $841.35	Professional		$428.89	$623.22	$841.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.70 / $702.91 / $1,243.70	Professional		$540.70	$702.91	$1,243.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,942.94 / $8,957.00	Facility		$55.00	$2,942.94	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,852.40 / $3,967.20 / $4,475.55	Professional		$3,852.40	$3,967.20	$4,475.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.41 / $678.38 / $944.07	Facility		$529.41	$678.38	$944.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $510.09 / $675.72 / $1,365.00	Professional		$510.09	$675.72	$1,365.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $600.45 / $729.11	Professional		$428.89	$600.45	$729.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,707.00 / $21,278.00	Facility		$4,728.00	$9,707.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.70 / $602.00 / $1,709.87	Professional		$400.70	$602.00	$1,709.87