Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $1,525.69 / $4,955.10	Facility		$562.50	$1,525.69	$4,955.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.75 / $562.50 / $637.50	Professional		$408.75	$562.50	$637.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,757.50	Facility		$244.00	$614.00	$3,757.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $11.80 / $450.00	Professional		$10.73	$11.80	$450.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $1,024.50 / $6,810.00	Facility		$59.90	$1,024.50	$6,810.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $341.25 / $487.50 / $718.72	Professional		$341.25	$487.50	$718.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.23 / $984.75 / $2,454.56	Facility		$502.23	$984.75	$2,454.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $1,077.41 / $1,142.46	Professional		$861.93	$1,077.41	$1,142.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $750.00 / $1,200.00	Professional		$99.00	$750.00	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $750.00 / $1,312.50	Professional		$600.00	$750.00	$1,312.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $3,562.50 / $3,562.50	Facility		$1,305.00	$3,562.50	$3,562.50
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 $450.00 / $750.00 / $1,791.28	Facility		$450.00	$750.00	$1,791.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $750.00 / $750.00	Professional		$615.00	$750.00	$750.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $1,147.50	Professional		$315.00	$315.00	$1,147.50