Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,089.30 / $3,548.13	Facility		$707.95	$2,089.30	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $489.78	Professional		$338.84	$416.87	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $2,570.40	Facility		$1,288.25	$2,570.40	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $794.33	Professional		$169.82	$208.93	$794.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $933.25	Professional		$302.00	$389.05	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $724.44 / $1,698.24	Facility		$346.74	$724.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $776.25	Professional		$363.08	$616.60	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $512.86 / $812.83	Professional		$100.00	$512.86	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $891.25	Professional		$407.38	$512.86	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
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 $309.03 / $575.44 / $1,318.26	Facility		$309.03	$575.44	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $512.86	Professional		$363.08	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $281.84 / $354.81	Facility		$229.09	$281.84	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $912.01	Professional		$213.80	$234.42	$912.01