Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.00 / $6,302.00 / $18,681.00	Facility		$1,841.00	$6,302.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.25 / $8,057.17 / $8,057.17	Professional		$411.25	$8,057.17	$8,057.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,627.75 / $10,249.31	Facility		$92.60	$2,627.75	$10,249.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $3,679.62 / $8,845.74	Facility		$643.00	$3,679.62	$8,845.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,676.05 / $3,676.05 / $3,859.85	Professional		$3,676.05	$3,676.05	$3,859.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $13,550.09	Facility		$100.00	$100.00	$13,550.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $4,447.42 / $8,057.17	Facility		$664.60	$4,447.42	$8,057.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $662.70 / $662.70	Professional		$662.70	$662.70	$662.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,166.00 / $7,274.00 / $15,471.00	Facility		$2,166.00	$7,274.00	$15,471.00