Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $707.95 / $1,202.26	Facility		$239.88	$707.95	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $173.78	Professional		$114.82	$141.25	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $870.96	Facility		$436.52	$870.96	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $512.86	Professional		$147.91	$316.23	$512.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $489.78	Facility		$100.00	$371.54	$489.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $316.23	Professional		$102.33	$131.83	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $562.34	Facility		$114.82	$223.87	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $263.03	Professional		$151.36	$208.93	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $275.42	Professional		$100.00	$173.78	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $302.00	Professional		$138.04	$173.78	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
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 $89.13 / $173.78 / $426.58	Facility		$89.13	$173.78	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $204.17	Professional		$123.03	$173.78	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $173.78	Facility		$72.44	$95.50	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $309.03	Professional		$72.44	$79.43	$309.03