Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $1,959.63 / $5,386.88	Facility		$562.50	$1,959.63	$5,386.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.75 / $622.50 / $637.50	Professional		$408.75	$622.50	$637.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,757.50	Facility		$244.00	$614.00	$3,757.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $416.96 / $632.16	Professional		$336.26	$416.96	$632.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $487.50 / $1,218.99	Professional		$341.25	$487.50	$1,218.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.81 / $1,257.75 / $2,510.63	Facility		$494.81	$1,257.75	$2,510.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $900.00 / $1,200.00	Professional		$750.00	$900.00	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $862.50 / $1,432.50	Professional		$675.00	$862.50	$1,432.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $3,562.50 / $3,562.50	Facility		$1,305.00	$3,562.50	$3,562.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,735.00 / $3,735.00 / $5,625.00	Professional		$3,735.00	$3,735.00	$5,625.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $900.00 / $1,989.98	Facility		$600.00	$900.00	$1,989.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $825.00 / $1,125.00	Professional		$750.00	$825.00	$1,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $338.78 / $2,014.28	Professional		$315.00	$338.78	$2,014.28