Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.67 / $1,070.48 / $3,476.69	Facility		$394.67	$1,070.48	$3,476.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $394.67 / $447.30	Professional		$286.80	$394.67	$447.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $2,636.41	Facility		$203.00	$614.00	$2,636.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $74.11 / $318.36	Professional		$69.92	$74.11	$318.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.44 / $342.05 / $516.94	Professional		$239.44	$342.05	$516.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.05 / $706.33 / $1,722.22	Facility		$342.05	$706.33	$1,722.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $641.39 / $801.74	Professional		$604.63	$641.39	$801.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $526.23 / $841.97	Professional		$99.00	$526.23	$841.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.98 / $526.23 / $920.90	Professional		$420.98	$526.23	$920.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $915.64 / $2,499.59 / $2,499.59	Facility		$915.64	$2,499.59	$2,499.59
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 $315.72 / $526.23 / $1,234.55	Facility		$315.72	$526.23	$1,234.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.20 / $499.92 / $578.85	Professional		$405.20	$499.92	$578.85
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $236.80 / $887.49	Professional		$221.02	$236.80	$887.49