Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,548.82 / $2,630.27	Facility		$524.81	$1,548.82	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $380.19	Professional		$251.19	$309.03	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,905.46 / $1,949.84	Facility		$954.99	$1,905.46	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $562.34	Professional		$263.03	$338.84	$562.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $870.96	Professional		$223.87	$302.00	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $616.60 / $1,288.25	Facility		$251.19	$616.60	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $575.44	Professional		$275.42	$467.74	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $380.19 / $602.56	Professional		$100.00	$380.19	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $660.69	Professional		$302.00	$380.19	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $977.24	Facility		$229.09	$436.52	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $380.19	Professional		$275.42	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $380.19	Facility		$158.49	$208.93	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $676.08	Professional		$158.49	$173.78	$676.08