Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,651.66 / $3,651.66 / $30,673.90	Facility		$3,651.66	$3,651.66	$30,673.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,035.72 / $3,651.66 / $3,651.66	Professional		$3,035.72	$3,651.66	$3,651.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.94 / $1,800.99 / $4,406.43	Facility		$888.94	$1,800.99	$4,406.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.51 / $3,739.65 / $7,180.12	Professional		$446.51	$3,739.65	$7,180.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $365.14 / $521.63 / $1,271.58	Professional		$365.14	$521.63	$1,271.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Facility		$3,739.65	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $339.34 / $339.34 / $407.21	Professional		$339.34	$339.34	$407.21
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 $4,179.60 / $8,799.18 / $16,017.94	Facility		$4,179.60	$8,799.18	$16,017.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,231.51 / $16,718.43 / $19,221.53	Professional		$16,231.51	$16,718.43	$19,221.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $921.74	Professional		$85.00	$85.00	$921.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,330.95 / $4,399.59 / $5,224.51	Facility		$3,330.95	$4,399.59	$5,224.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $4,179.60	Professional		$3,739.65	$3,739.65	$4,179.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $339.34 / $373.27 / $576.88	Professional		$339.34	$373.27	$576.88
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $6,763.49	Professional		$3,666.33	$3,666.33	$6,763.49