Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.54 / $774.48 / $2,515.36	Facility		$285.54	$774.48	$2,515.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $285.54 / $323.61	Professional		$207.49	$285.54	$323.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,907.41	Facility		$244.00	$614.00	$1,907.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $341.89 / $521.20	Professional		$73.44	$341.89	$521.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $247.47 / $374.00	Professional		$173.23	$247.47	$374.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.18 / $511.03 / $1,246.01	Facility		$251.18	$511.03	$1,246.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $463.80 / $579.75	Professional		$437.37	$463.80	$579.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $380.72 / $609.15	Professional		$99.00	$380.72	$609.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $380.72 / $666.26	Professional		$304.58	$380.72	$666.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $662.45 / $1,808.42 / $1,808.42	Facility		$662.45	$1,808.42	$1,808.42
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 $228.43 / $380.72 / $893.16	Facility		$228.43	$380.72	$893.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $380.72 / $418.79	Professional		$293.14	$380.72	$418.79
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $166.36 / $689.10	Professional		$159.90	$166.36	$689.10