Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $402.94 / $1,081.59	Facility		$128.00	$402.94	$1,081.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $170.00	Professional		$128.00	$128.00	$170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,002.00	Facility		$244.00	$614.00	$1,002.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.27 / $25.03	Professional		$13.28	$15.27	$25.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $130.00 / $325.07	Professional		$91.00	$130.00	$325.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $335.40 / $669.50	Facility		$131.94	$335.40	$669.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $320.00	Professional		$200.00	$240.00	$320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $230.00 / $393.93	Professional		$180.00	$230.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $950.00 / $950.00	Facility		$348.00	$950.00	$950.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $996.00 / $1,500.00	Professional		$996.00	$996.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $240.00 / $530.66	Facility		$135.68	$240.00	$530.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $220.00 / $300.00	Professional		$200.00	$220.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $396.00	Professional		$84.00	$84.00	$396.00