Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,486.00 / $3,486.00 / $33,545.80	Facility		$3,486.00	$3,486.00	$33,545.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,425.86 / $3,486.00 / $3,835.75	Professional		$2,425.86	$3,486.00	$3,835.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.09 / $1,717.66 / $3,768.49	Facility		$996.09	$1,717.66	$3,768.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $6,854.40	Professional		$3,570.00	$3,570.00	$6,854.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,440.19 / $3,486.00 / $8,497.82	Professional		$2,440.19	$3,486.00	$8,497.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,490.46 / $3,490.46 / $4,188.55	Professional		$3,490.46	$3,490.46	$4,188.55
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 $7,908.42 / $21,783.39 / $22,577.61	Facility		$7,908.42	$21,783.39	$22,577.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,051.83 / $24,051.83 / $34,812.83	Professional		$24,051.83	$24,051.83	$34,812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $6,018.36	Professional		$85.00	$85.00	$6,018.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $4,200.00 / $4,987.50	Facility		$3,384.12	$4,200.00	$4,987.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,486.00 / $3,834.60 / $5,926.20	Professional		$3,486.00	$3,834.60	$5,926.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $8,068.20	Professional		$4,200.00	$4,200.00	$8,068.20