Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.90 / $935.47 / $3,038.17	Facility		$344.90	$935.47	$3,038.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.62 / $344.90 / $390.88	Professional		$250.62	$344.90	$390.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,303.90	Facility		$244.00	$614.00	$2,303.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.86 / $337.53	Professional		$2.58	$2.86	$337.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $332.48 / $1,296.81	Facility		$92.60	$332.48	$1,296.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $298.91 / $440.68	Professional		$209.24	$298.91	$440.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.39 / $603.79 / $1,505.01	Facility		$303.39	$603.79	$1,505.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $660.80 / $700.55	Professional		$528.64	$660.80	$700.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $459.86 / $735.78	Professional		$99.00	$459.86	$735.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.89 / $459.86 / $804.76	Professional		$367.89	$459.86	$804.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $800.16 / $2,184.34 / $2,184.34	Facility		$800.16	$2,184.34	$2,184.34
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 $275.92 / $459.86 / $1,098.40	Facility		$275.92	$459.86	$1,098.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $459.86 / $459.86	Professional		$377.09	$459.86	$459.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $367.89 / $459.86 / $643.79	Professional		$367.89	$459.86	$643.79
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $193.14 / $873.73	Professional		$193.14	$193.14	$873.73