Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $1,707.11 / $14,339.70	Facility		$1,707.11	$1,707.11	$14,339.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.16 / $1,707.11 / $1,707.11	Professional		$1,419.16	$1,707.11	$1,707.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,043.04 / $1,818.35 / $2,883.05	Facility		$1,043.04	$1,818.35	$2,883.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.87 / $1,748.25 / $3,373.08	Professional		$1,501.87	$1,748.25	$3,373.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $623.44 / $890.63 / $2,171.09	Professional		$623.44	$890.63	$2,171.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $454.09 / $454.09 / $544.91	Professional		$454.09	$454.09	$544.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,444.73 / $4,113.52 / $7,712.85	Facility		$2,444.73	$4,113.52	$7,712.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,815.69 / $7,815.69 / $9,255.42	Professional		$7,815.69	$7,815.69	$9,255.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $1,233.40	Professional		$85.00	$85.00	$1,233.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $2,056.76 / $2,442.40	Facility		$1,645.41	$2,056.76	$2,442.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,953.92	Professional		$1,748.25	$1,748.25	$1,953.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $454.09 / $499.50 / $771.95	Professional		$454.09	$499.50	$771.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $3,495.13	Professional		$1,713.97	$1,713.97	$3,495.13