Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,980.61	Facility		$1,961.00	$1,961.00	$1,980.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,157.10	Professional		$1,961.00	$1,961.00	$2,157.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,911.19 / $2,275.54 / $3,850.03	Facility		$1,911.19	$2,275.54	$3,850.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,072.00 / $4,625.00	Professional		$1,961.00	$2,072.00	$4,625.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,568.80	Professional		$100.00	$100.00	$1,568.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $1,961.00	Facility		$1,850.00	$1,850.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,127.50	Professional		$1,961.00	$1,961.00	$2,127.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,696.00 / $2,035.20	Professional		$1,696.00	$1,696.00	$2,035.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,764.90 / $2,451.25 / $4,314.20	Professional		$1,764.90	$2,451.25	$4,314.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,608.50 / $5,700.00 / $6,562.50	Facility		$2,608.50	$5,700.00	$6,562.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,720.00 / $7,505.00 / $8,550.00	Professional		$6,720.00	$7,505.00	$8,550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $2,718.90 / $4,128.70	Professional		$70.00	$2,718.90	$4,128.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $2,120.00 / $3,338.93	Facility		$1,961.00	$2,120.00	$3,338.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,500.00	Professional		$1,961.00	$1,961.00	$2,500.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,568.80 / $1,696.00 / $2,157.10	Professional		$1,568.80	$1,696.00	$2,157.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $3,690.49	Professional		$1,961.00	$1,961.00	$3,690.49