Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.55 / $1,303.41 / $4,233.21	Facility		$480.55	$1,303.41	$4,233.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $480.55 / $544.62	Professional		$349.20	$480.55	$544.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.64 / $3,190.84 / $3,254.91	Facility		$1,614.64	$3,190.84	$3,254.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $470.29	Professional		$208.00	$208.00	$470.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,052.08 / $1,762.01	Facility		$97.00	$1,052.08	$1,762.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $416.47 / $595.59	Professional		$291.52	$416.47	$595.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.06 / $741.32 / $1,620.07	Facility		$429.06	$741.32	$1,620.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $709.13 / $886.41	Professional		$668.63	$709.13	$886.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $640.73 / $1,025.17	Professional		$99.00	$640.73	$1,025.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.58 / $640.73 / $1,121.28	Professional		$512.58	$640.73	$1,121.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,114.86 / $3,043.47 / $3,043.47	Facility		$1,114.86	$3,043.47	$3,043.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $608.69 / $1,172.54	Facility		$422.72	$608.69	$1,172.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $608.69 / $640.73	Professional		$493.36	$608.69	$640.73
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $269.11 / $916.24	Professional		$269.11	$269.11	$916.24