Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $3,989.00 / $15,795.00	Facility		$160.13	$3,989.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $524.12	Professional		$45.89	$127.09	$524.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $4,464.00 / $8,976.00	Facility		$2,050.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $2,240.11 / $3,490.89	Professional		$163.19	$2,240.11	$3,490.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,659.82	Facility		$66.90	$100.00	$1,659.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $131.29 / $281.14	Professional		$70.34	$131.29	$281.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.21 / $521.21 / $547.27	Professional		$521.21	$521.21	$547.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $532.00 / $938.00	Professional		$341.00	$532.00	$938.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,108.55 / $12,000.00	Facility		$100.00	$2,108.55	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.88 / $2,061.88 / $2,144.36	Professional		$2,061.88	$2,061.88	$2,144.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $268.92	Facility		$45.89	$127.09	$268.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,731.00 / $7,655.00	Facility		$1,410.00	$2,731.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.96 / $202.96 / $202.96	Professional		$202.96	$202.96	$202.96