Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.90 / $1,035.84 / $3,364.21	Facility		$381.90	$1,035.84	$3,364.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $381.90 / $432.82	Professional		$277.51	$381.90	$432.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $2,551.09	Facility		$203.00	$614.00	$2,551.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $74.11 / $308.06	Professional		$69.92	$74.11	$308.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $231.69 / $330.98 / $500.21	Professional		$231.69	$330.98	$500.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.81 / $893.65 / $1,765.00	Facility		$355.81	$893.65	$1,765.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $620.74 / $775.93	Professional		$585.22	$620.74	$775.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $509.20 / $814.72	Professional		$99.00	$509.20	$814.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.36 / $509.20 / $891.10	Professional		$407.36	$509.20	$891.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $886.01 / $2,418.69 / $2,418.69	Facility		$886.01	$2,418.69	$2,418.69
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 $305.52 / $516.33 / $1,287.51	Facility		$305.52	$516.33	$1,287.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $483.74 / $560.12	Professional		$392.08	$483.74	$560.12
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $213.86 / $1,008.22	Professional		$213.86	$213.86	$1,008.22