Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.99 / $1,570.39 / $5,100.29	Facility		$578.99	$1,570.39	$5,100.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.73 / $578.99 / $656.18	Professional		$420.73	$578.99	$656.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,867.62	Facility		$244.00	$614.00	$3,867.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.88 / $440.82 / $621.16	Professional		$399.88	$440.82	$621.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $231.24 / $281.77	Facility		$193.35	$231.24	$281.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $501.79 / $758.36	Professional		$351.25	$501.79	$758.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.32 / $1,036.20 / $2,526.51	Facility		$509.32	$1,036.20	$2,526.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $940.81 / $1,176.01	Professional		$887.12	$940.81	$1,176.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $771.98 / $1,235.17	Professional		$99.00	$771.98	$1,235.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.58 / $771.98 / $1,350.97	Professional		$617.58	$771.98	$1,350.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.25 / $3,666.91 / $3,666.91	Facility		$1,343.25	$3,666.91	$3,666.91
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 $463.18 / $771.98 / $1,811.06	Facility		$463.18	$771.98	$1,811.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $594.41 / $733.38 / $771.98	Professional		$594.41	$733.38	$771.98
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $324.23 / $1,301.95	Professional		$324.23	$324.23	$1,301.95