Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.03 / $2,655.44 / $8,624.34	Facility		$979.03	$2,655.44	$8,624.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $979.03 / $1,109.56	Professional		$711.43	$979.03	$1,109.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $6,539.90	Facility		$244.00	$614.00	$6,539.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.14 / $1,171.35 / $1,894.86	Professional		$958.14	$1,171.35	$1,894.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $943.78 / $3,681.14	Facility		$92.60	$943.78	$3,681.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $593.94 / $848.49 / $1,250.93	Professional		$593.94	$848.49	$1,250.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.22 / $1,713.95 / $4,272.14	Facility		$861.22	$1,713.95	$4,272.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.02 / $1,875.02 / $1,988.60	Professional		$1,500.02	$1,875.02	$1,988.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $1,305.36 / $2,088.59	Professional		$99.00	$1,305.36	$2,088.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.30 / $1,305.36 / $2,284.40	Professional		$1,044.30	$1,305.36	$2,284.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,271.34 / $6,200.51 / $6,200.51	Facility		$2,271.34	$6,200.51	$6,200.51
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 $783.22 / $1,305.36 / $3,117.55	Facility		$783.22	$1,305.36	$3,117.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,070.40 / $1,305.36 / $1,305.36	Professional		$1,070.40	$1,305.36	$1,305.36
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $1,997.22	Professional		$548.26	$548.26	$1,997.22