Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $12.31 / $38.04	Facility		$4.78	$12.31	$38.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,791.73	Facility		$244.00	$614.00	$1,791.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.50 / $216.36	Professional		$4.25	$4.50	$216.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $306.02 / $366.01 / $445.99	Facility		$306.02	$366.01	$445.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $232.46 / $351.32	Professional		$162.72	$232.46	$351.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $480.03 / $1,170.44	Facility		$249.90	$480.03	$1,170.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $435.72 / $544.65	Professional		$410.94	$435.72	$544.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $357.63 / $572.21	Professional		$99.00	$357.63	$572.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $357.63 / $625.85	Professional		$286.10	$357.63	$625.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $622.28 / $1,698.74 / $1,698.74	Facility		$622.28	$1,698.74	$1,698.74
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 $210.97 / $352.39 / $798.06	Facility		$210.97	$352.39	$798.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $339.75 / $364.78	Professional		$275.38	$339.75	$364.78
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.19 / $603.15	Professional		$150.19	$150.19	$603.15