Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,200.00 / $4,201.00	Facility		$1,765.00	$2,200.00	$4,201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,765.00 / $2,574.00	Professional		$1,000.00	$1,765.00	$2,574.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $353.00 / $2,523.00	Facility		$103.80	$353.00	$2,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.70 / $1,329.21 / $2,129.16	Professional		$427.70	$1,329.21	$2,129.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $4,639.18 / $9,113.78	Facility		$98.20	$4,639.18	$9,113.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.47 / $259.95	Professional		$100.00	$107.47	$259.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.38 / $4,098.89 / $9,549.53	Facility		$1,177.38	$4,098.89	$9,549.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.34 / $991.80 / $2,047.47	Professional		$361.34	$991.80	$2,047.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $85.19 / $102.23	Professional		$85.19	$85.19	$102.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.69 / $1,918.26 / $4,209.83	Professional		$1,565.69	$1,918.26	$4,209.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.92 / $6,897.90 / $6,897.90	Facility		$1,432.92	$6,897.90	$6,897.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,226.72 / $4,226.72 / $5,767.95	Professional		$4,226.72	$4,226.72	$5,767.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $1,712.10 / $5,256.09	Facility		$118.00	$1,712.10	$5,256.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.34 / $1,303.11 / $2,333.51	Professional		$361.34	$1,303.11	$2,333.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $153.33 / $2,466.89	Professional		$110.74	$153.33	$2,466.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,829.45 / $2,829.45 / $2,829.45	Facility		$2,829.45	$2,829.45	$2,829.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,138.31 / $3,136.19 / $8,628.35	Professional		$2,138.31	$3,136.19	$8,628.35