Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $12,301.00 / $32,333.00	Facility		$2,421.00	$12,301.00	$32,333.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $340.07 / $375.12	Professional		$311.77	$340.07	$375.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,830.00 / $19,252.00	Facility		$3,028.00	$9,830.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $477.72 / $822.36	Professional		$322.27	$477.72	$822.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $177.08 / $14,294.73	Facility		$62.00	$177.08	$14,294.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $405.14 / $849.39	Professional		$279.70	$405.14	$849.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,208.00 / $20,759.00 / $29,236.00	Facility		$13,208.00	$20,759.00	$29,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $407.97 / $823.52	Professional		$329.20	$407.97	$823.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $362.25 / $362.25	Professional		$285.62	$362.25	$362.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.31 / $353.47 / $711.00	Professional		$315.31	$353.47	$711.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,204.71 / $5,386.21 / $5,386.21	Facility		$2,204.71	$5,386.21	$5,386.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,386.21 / $5,386.21 / $5,386.21	Professional		$5,386.21	$5,386.21	$5,386.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.35 / $499.53 / $19,404.00	Facility		$360.35	$499.53	$19,404.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.66 / $414.37 / $860.80	Professional		$335.66	$414.37	$860.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $318.72 / $519.62 / $779.42	Professional		$318.72	$519.62	$779.42
United Facility/Professional Facility Modifier Low / Median / High Price $7,280.00 / $13,356.00 / $32,001.00	Facility		$7,280.00	$13,356.00	$32,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.74 / $396.45 / $913.49	Professional		$273.74	$396.45	$913.49