Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,988.00 / $9,406.21 / $23,784.50	Facility		$2,988.00	$9,406.21	$23,784.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $3,060.00 / $3,600.00	Professional		$2,340.00	$3,060.00	$3,600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,466.32 / $17,748.00	Facility		$614.00	$6,466.32	$17,748.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,612.80 / $5,400.00	Professional		$1,440.00	$1,612.80	$5,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $4,752.00 / $32,292.00	Facility		$59.40	$4,752.00	$32,292.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,340.00 / $5,851.17	Professional		$1,638.00	$2,340.00	$5,851.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.10 / $6,037.20 / $12,051.00	Facility		$2,375.10	$6,037.20	$12,051.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.08 / $3,016.48 / $11,289.50	Professional		$1,905.08	$3,016.48	$11,289.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,600.00 / $4,860.00	Professional		$2,880.00	$3,600.00	$4,860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,140.00 / $7,848.00	Professional		$3,240.00	$4,140.00	$7,848.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,264.00 / $17,100.00 / $17,100.00	Facility		$6,264.00	$17,100.00	$17,100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,928.00 / $17,928.00 / $27,000.00	Professional		$17,928.00	$17,928.00	$27,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $4,320.00 / $9,551.87	Facility		$2,880.00	$4,320.00	$9,551.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,997.57 / $4,140.00 / $9,868.20	Professional		$1,997.57	$4,140.00	$9,868.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,240.00 / $4,896.00	Professional		$2,880.00	$3,240.00	$4,896.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $7,152.48	Professional		$1,512.00	$1,512.00	$7,152.48