Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.56 / $2,096.56 / $17,611.09	Facility		$2,096.56	$2,096.56	$17,611.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,742.93 / $2,096.56 / $2,147.08	Professional		$1,742.93	$2,096.56	$2,147.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.43 / $1,932.37 / $3,031.17	Facility		$1,004.43	$1,932.37	$3,031.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.00 / $2,147.08 / $4,142.60	Professional		$1,138.00	$2,147.08	$4,142.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $404.71 / $982.27	Professional		$282.07	$404.71	$982.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $233.29 / $279.95	Professional		$233.29	$233.29	$279.95
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 $2,399.67 / $5,051.96 / $9,472.43	Facility		$2,399.67	$5,051.96	$9,472.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,840.93 / $9,598.71 / $11,366.91	Professional		$8,840.93	$9,598.71	$11,366.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $609.19	Professional		$85.00	$85.00	$609.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.53 / $2,147.08 / $2,998.08	Facility		$555.53	$2,147.08	$2,998.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,525.98	Professional		$2,147.08	$2,147.08	$2,525.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $256.62 / $396.59	Professional		$233.29	$256.62	$396.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $4,077.77	Professional		$2,104.98	$2,104.98	$4,077.77