Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,715.19 / $28,840.32	Facility		$3,548.13	$10,715.19	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $134.90	Professional		$70.79	$85.11	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $13,803.84	Facility		$2,570.40	$4,570.88	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $263.03	Professional		$89.13	$144.54	$263.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $95.50 / $2,511.89	Facility		$40.74	$95.50	$2,511.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $257.04	Professional		$91.20	$123.03	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $21,877.62 / $31,622.78	Facility		$4,466.84	$21,877.62	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $223.87	Professional		$85.11	$109.65	$223.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $117.49	Professional		$93.33	$117.49	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $199.53	Professional		$67.61	$83.18	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $22,387.21	Facility		$85.11	$123.03	$22,387.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $245.47	Professional		$85.11	$109.65	$245.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $257.04	Professional		$75.86	$173.78	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,248.07 / $15,488.17	Facility		$2,344.23	$5,248.07	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $204.17	Professional		$67.61	$97.72	$204.17