Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,089.30 / $3,467.37	Facility		$707.95	$2,089.30	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $489.78	Professional		$338.84	$416.87	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $2,570.40	Facility		$1,288.25	$2,570.40	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $354.81	Professional		$69.18	$83.18	$354.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $1,174.90	Professional		$295.12	$398.11	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $977.24 / $1,905.46	Facility		$346.74	$977.24	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $776.25	Professional		$363.08	$616.60	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $512.86 / $812.83	Professional		$100.00	$512.86	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $891.25	Professional		$407.38	$512.86	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
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 $309.03 / $588.84 / $1,513.56	Facility		$309.03	$588.84	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $512.86	Professional		$363.08	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $281.84 / $512.86	Facility		$213.80	$281.84	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $912.01	Professional		$213.80	$229.09	$912.01