Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,032.30 / $6,397.68 / $16,177.10	Facility		$2,032.30	$6,397.68	$16,177.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $2,032.30 / $3,900.80	Professional		$1,591.56	$2,032.30	$3,900.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,398.10 / $12,071.40	Facility		$614.00	$4,398.10	$12,071.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $1,096.95 / $3,672.84	Professional		$979.42	$1,096.95	$3,672.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $3,232.10 / $21,963.58	Facility		$59.40	$3,232.10	$21,963.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $1,591.56 / $3,979.70	Professional		$1,114.08	$1,591.56	$3,979.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,615.43 / $4,106.22 / $8,196.53	Facility		$1,615.43	$4,106.22	$8,196.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.72 / $2,051.62 / $7,678.44	Professional		$1,295.72	$2,051.62	$7,678.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $2,448.56 / $3,305.56	Professional		$1,958.85	$2,448.56	$3,305.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,815.84 / $5,386.83	Professional		$2,203.69	$2,815.84	$5,386.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,260.49 / $11,630.66 / $11,630.66	Facility		$4,260.49	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,193.83 / $12,193.83 / $18,364.20	Professional		$12,193.83	$12,193.83	$18,364.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,958.85 / $2,938.27 / $6,496.75	Facility		$1,958.85	$2,938.27	$6,496.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,358.63 / $2,815.84 / $6,711.29	Professional		$1,358.63	$2,815.84	$6,711.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $2,203.69 / $3,330.05	Professional		$1,958.85	$2,203.69	$3,330.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $4,864.80	Professional		$1,028.40	$1,028.40	$4,864.80