Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,584.89 / $2,691.53	Facility		$549.54	$1,584.89	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $389.05	Professional		$257.04	$323.59	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $1,995.26	Facility		$977.24	$1,949.84	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $602.56	Professional		$204.17	$245.47	$602.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $707.95	Professional		$229.09	$295.12	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $1,318.26	Facility		$263.03	$549.54	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $588.84	Professional		$281.84	$478.63	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $389.05 / $630.96	Professional		$100.00	$389.05	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $676.08	Professional		$309.03	$389.05	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
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 $234.42 / $436.52 / $1,000.00	Facility		$234.42	$436.52	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $389.05	Professional		$281.84	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $389.05	Facility		$165.96	$213.80	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $691.83	Professional		$165.96	$177.83	$691.83