Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.40 / $1,039.91 / $3,377.43	Facility		$383.40	$1,039.91	$3,377.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.60 / $383.40 / $434.52	Professional		$278.60	$383.40	$434.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,561.11	Facility		$244.00	$614.00	$2,561.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $184.94 / $375.22	Professional		$168.13	$184.94	$375.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $232.60 / $332.28 / $489.88	Professional		$232.60	$332.28	$489.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.26 / $671.21 / $1,673.03	Facility		$337.26	$671.21	$1,673.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $623.22 / $779.03	Professional		$587.29	$623.22	$779.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $511.20 / $817.92	Professional		$99.00	$511.20	$817.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.96 / $511.20 / $894.60	Professional		$408.96	$511.20	$894.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $889.49 / $2,428.19 / $2,428.19	Facility		$889.49	$2,428.19	$2,428.19
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 $306.72 / $511.20 / $1,220.45	Facility		$306.72	$511.20	$1,220.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.62 / $485.64 / $511.20	Professional		$393.62	$485.64	$511.20
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $214.70 / $812.81	Professional		$214.70	$214.70	$812.81