Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.51 / $4,941.00 / $16,125.00	Facility		$227.51	$4,941.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $227.51 / $645.41	Professional		$206.11	$227.51	$645.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.00 / $5,944.00 / $11,994.00	Facility		$2,512.00	$5,944.00	$11,994.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.16 / $850.00 / $1,304.00	Professional		$633.16	$850.00	$1,304.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $579.12 / $1,346.15	Facility		$97.00	$579.12	$1,346.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $433.19 / $618.84 / $1,273.82	Professional		$433.19	$618.84	$1,273.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.74 / $558.13 / $705.31	Facility		$418.74	$558.13	$705.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $412.93 / $412.93 / $433.58	Professional		$412.93	$412.93	$433.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.75 / $714.23 / $1,208.17	Professional		$544.75	$714.23	$1,208.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,263.99 / $3,481.61 / $3,608.53	Facility		$1,263.99	$3,481.61	$3,608.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,046.97 / $4,046.97 / $5,564.03	Professional		$4,046.97	$4,046.97	$5,564.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.33 / $756.60 / $1,008.62	Facility		$325.33	$756.60	$1,008.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $1,450.97	Professional		$540.82	$540.82	$1,450.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,731.00 / $7,655.00	Facility		$1,198.00	$2,731.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $615.20 / $1,522.52	Professional		$409.75	$615.20	$1,522.52