Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $46,021.00 / $81,454.00	Facility		$2,264.00	$46,021.00	$81,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.66 / $975.66 / $48,363.00	Professional		$975.66	$975.66	$48,363.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $1,704.00 / $49,102.00	Facility		$1,111.00	$1,704.00	$49,102.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.23 / $1,689.36 / $3,061.06	Professional		$1,087.23	$1,689.36	$3,061.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $2,561.26 / $18,834.00	Facility		$60.30	$2,561.26	$18,834.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $1,105.85 / $5,781.12	Professional		$299.83	$1,105.85	$5,781.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,313.15 / $26,367.41 / $51,925.00	Facility		$2,313.15	$26,367.41	$51,925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.29 / $2,006.29 / $2,522.77	Professional		$2,006.29	$2,006.29	$2,522.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.57 / $1,062.57 / $1,275.08	Professional		$1,062.57	$1,062.57	$1,275.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,052.32 / $2,508.39 / $5,359.24	Professional		$2,052.32	$2,508.39	$5,359.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,125.12 / $10,200.48 / $10,200.48	Facility		$8,125.12	$10,200.48	$10,200.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,743.87 / $17,540.00 / $17,540.00	Professional		$5,743.87	$17,540.00	$17,540.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,366.95	Professional		$85.00	$85.00	$2,366.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.07 / $2,028.51 / $17,065.90	Facility		$1,139.07	$2,028.51	$17,065.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,672.00 / $2,280.35 / $2,736.42	Professional		$1,672.00	$2,280.35	$2,736.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,381.34 / $1,912.63 / $3,105.39	Professional		$1,381.34	$1,912.63	$3,105.39
United Facility/Professional Professional Modifier Low / Median / High Price $937.44 / $2,537.03 / $5,936.88	Professional		$937.44	$2,537.03	$5,936.88