Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.06 / $794.88 / $2,581.59	Facility		$293.06	$794.88	$2,581.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $293.06 / $332.14	Professional		$212.96	$293.06	$332.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,957.66	Facility		$244.00	$614.00	$1,957.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $225.94 / $388.78	Professional		$203.55	$225.94	$388.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $253.99 / $374.46	Professional		$177.79	$253.99	$374.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.80 / $513.05 / $1,278.83	Facility		$257.80	$513.05	$1,278.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $476.19 / $595.24	Professional		$448.93	$476.19	$595.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $390.75 / $625.20	Professional		$99.00	$390.75	$625.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $390.75 / $683.81	Professional		$312.60	$390.75	$683.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $679.91 / $1,856.06 / $1,856.06	Facility		$679.91	$1,856.06	$1,856.06
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 $234.45 / $390.75 / $933.10	Facility		$234.45	$390.75	$933.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.88 / $371.21 / $390.75	Professional		$300.88	$371.21	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $597.85	Professional		$164.12	$164.12	$597.85