Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $38,904.51 / $75,857.76	Facility		$1,819.70	$38,904.51	$75,857.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,584.89	Professional		$933.25	$1,202.26	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $41,686.94	Facility		$1,412.54	$1,584.89	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,235.94	Professional		$1,096.48	$1,819.70	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $6,760.83 / $20,892.96	Facility		$69.18	$6,760.83	$20,892.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,122.02 / $6,918.31	Professional		$316.23	$1,122.02	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $26,302.68 / $47,863.01	Facility		$2,290.87	$26,302.68	$47,863.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,041.74	Professional		$870.96	$1,148.15	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $8,912.51	Professional		$2,041.74	$2,511.89	$8,912.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Professional		$17,378.01	$17,378.01	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $13,803.84	Facility		$1,096.48	$2,187.76	$13,803.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,290.87	Professional		$870.96	$1,122.02	$2,290.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,511.89	Professional		$1,071.52	$1,819.70	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $12,022.64 / $18,620.87	Facility		$11,748.98	$12,022.64	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,398.83 / $5,248.07	Professional		$912.01	$2,398.83	$5,248.07