Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,003.00 / $9,697.00 / $20,509.00	Facility		$4,003.00	$9,697.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,027.97 / $11,103.76 / $14,128.20	Professional		$5,027.97	$11,103.76	$14,128.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $9,790.00 / $19,252.00	Facility		$4,314.00	$9,790.00	$19,252.00
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 / $3,773.73 / $14,719.12	Facility		$92.60	$3,773.73	$14,719.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,563.55 / $4,211.47 / $9,921.86	Facility		$3,563.55	$4,211.47	$9,921.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,954.96 / $3,954.96 / $4,152.71	Professional		$3,954.96	$3,954.96	$4,152.71
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,563.55 / $4,211.47 / $11,103.76	Facility		$3,563.55	$4,211.47	$11,103.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00