Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.35 / $1,449.34 / $4,707.14	Facility		$534.35	$1,449.34	$4,707.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $534.35 / $605.60	Professional		$388.30	$534.35	$605.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,569.47	Facility		$244.00	$614.00	$3,569.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $9.90 / $522.95	Professional		$8.92	$9.90	$522.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,169.88 / $1,959.29	Facility		$97.00	$1,169.88	$1,959.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $324.18 / $463.11 / $662.29	Professional		$324.18	$463.11	$662.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.11 / $824.34 / $1,801.50	Facility		$477.11	$824.34	$1,801.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $868.13 / $1,085.16	Professional		$818.98	$868.13	$1,085.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $712.47 / $1,139.95	Professional		$99.00	$712.47	$1,139.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.98 / $712.47 / $1,246.82	Professional		$569.98	$712.47	$1,246.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,239.70 / $3,384.23 / $3,384.23	Facility		$1,239.70	$3,384.23	$3,384.23
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 $427.48 / $641.22 / $1,282.45	Facility		$427.48	$641.22	$1,282.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.60 / $676.85 / $712.47	Professional		$548.60	$676.85	$712.47
United Facility/Professional Facility Modifier Low / Median / High Price $299.24 / $712.47 / $712.47	Facility		$299.24	$712.47	$712.47
United Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $299.24 / $1,132.83	Professional		$299.24	$299.24	$1,132.83