Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.45 / $8,644.96 / $22,456.90	Facility		$4,000.45	$8,644.96	$22,456.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $4,000.45 / $4,800.54	Professional		$3,855.86	$4,000.45	$4,800.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,288.96 / $5,251.79 / $6,012.04	Facility		$4,288.96	$5,251.79	$6,012.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $5,001.70 / $11,854.03	Professional		$4,819.82	$5,001.70	$11,854.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,140.61 / $13,004.42	Facility		$97.00	$7,140.61	$13,004.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,910.76 / $4,910.76 / $10,981.40	Professional		$4,910.76	$4,910.76	$10,981.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,684.00	Professional		$4,819.82	$4,819.82	$5,684.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $4,528.81 / $5,434.57	Professional		$4,528.81	$4,528.81	$5,434.57
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 $5,684.00 / $7,711.71 / $9,719.64	Facility		$5,684.00	$7,711.71	$9,719.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,459.46 / $21,887.34 / $22,762.83	Professional		$14,459.46	$21,887.34	$22,762.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $10,473.42 / $10,473.42	Professional		$60.00	$10,473.42	$10,473.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $4,819.82 / $6,603.64	Facility		$3,855.86	$4,819.82	$6,603.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,911.10	Professional		$4,819.82	$4,819.82	$5,911.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,528.81 / $5,887.45 / $6,793.22	Professional		$4,528.81	$5,887.45	$6,793.22
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $9,094.40	Professional		$5,684.00	$5,684.00	$9,094.40