Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,035.76 / $13,598.60 / $37,974.40	Facility		$6,035.76	$13,598.60	$37,974.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,035.76 / $7,242.91	Professional		$5,817.60	$6,035.76	$7,242.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,743.82 / $5,353.19 / $8,712.68	Facility		$2,743.82	$5,353.19	$8,712.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.15 / $6,181.20 / $8,470.91	Professional		$1,538.15	$6,181.20	$8,470.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $7,272.00	Facility		$77.09	$100.00	$7,272.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6,035.76 / $6,035.76 / $12,177.75	Professional		$6,035.76	$6,035.76	$12,177.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $9,012.14	Facility		$6,181.20	$6,181.20	$9,012.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,555.93 / $5,555.93 / $7,500.51	Professional		$5,555.93	$5,555.93	$7,500.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,908.40 / $26,506.30 / $26,506.30	Facility		$6,908.40	$26,506.30	$26,506.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,314.69 / $27,633.60 / $29,977.92	Professional		$25,314.69	$27,633.60	$29,977.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $4,586.38	Professional		$60.00	$60.00	$4,586.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.97 / $5,170.70 / $7,272.00	Facility		$943.97	$5,170.70	$7,272.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,939.34	Professional		$6,181.20	$6,181.20	$6,939.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,805.74 / $7,547.46 / $8,708.61	Professional		$5,805.74	$7,547.46	$8,708.61
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,060.00 / $10,155.35	Professional		$6,060.00	$6,060.00	$10,155.35