Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,565.00 / $14,370.60 / $36,337.40	Facility		$4,565.00	$14,370.60	$36,337.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,575.00 / $4,565.00 / $8,793.91	Professional		$3,575.00	$4,565.00	$8,793.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $9,780.31 / $27,115.00	Facility		$614.00	$9,780.31	$27,115.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,464.00 / $8,250.00	Professional		$2,200.00	$2,464.00	$8,250.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $7,260.00 / $49,335.00	Facility		$59.40	$7,260.00	$49,335.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,502.50 / $3,575.00 / $8,939.29	Professional		$2,502.50	$3,575.00	$8,939.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,628.63 / $9,223.50 / $18,411.25	Facility		$3,628.63	$9,223.50	$18,411.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.52 / $4,608.47 / $17,247.75	Professional		$2,910.52	$4,608.47	$17,247.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,445.00 / $5,989.50 / $7,350.75	Professional		$5,445.00	$5,989.50	$7,350.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,900.50 / $6,261.75 / $10,617.75	Professional		$4,900.50	$6,261.75	$10,617.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,474.29 / $25,482.60 / $25,863.75	Facility		$9,474.29	$25,482.60	$25,863.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,116.10 / $27,116.10 / $40,837.50	Professional		$27,116.10	$27,116.10	$40,837.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,416.00 / $6,534.00 / $14,593.15	Facility		$4,416.00	$6,534.00	$14,593.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,051.83 / $6,325.00 / $15,075.98	Professional		$3,051.83	$6,325.00	$15,075.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $2,318.40 / $10,927.40	Professional		$2,310.00	$2,318.40	$10,927.40