Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $10,321.00 / $28,793.00	Facility		$1,256.22	$10,321.00	$28,793.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $85.53 / $94.86	Professional		$71.18	$85.53	$94.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,604.00 / $12,647.00	Facility		$1,723.00	$4,604.00	$12,647.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $128.27 / $252.29	Professional		$82.41	$128.27	$252.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $90.38 / $1,414.70	Facility		$45.50	$90.38	$1,414.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $101.56 / $210.67	Professional		$72.25	$101.56	$210.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,962.00 / $20,519.00 / $29,236.00	Facility		$8,962.00	$20,519.00	$29,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $106.87 / $226.88	Professional		$84.57	$106.87	$226.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $118.56 / $118.56	Professional		$93.48	$118.56	$118.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $80.48 / $165.82	Professional		$67.94	$80.48	$165.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $4,144.64 / $4,222.58	Facility		$170.80	$4,144.64	$4,222.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,336.63 / $2,336.63	Professional		$1,846.00	$2,336.63	$2,336.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $121.06 / $18,306.00	Facility		$85.53	$121.06	$18,306.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $108.59 / $249.63	Professional		$84.57	$108.59	$249.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $170.06 / $255.09	Professional		$76.25	$170.06	$255.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $5,067.00 / $15,925.00	Facility		$2,348.00	$5,067.00	$15,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $97.75 / $209.36	Professional		$68.48	$97.75	$209.36