Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,951.21 / $4,897.79	Facility		$1,000.00	$2,951.21	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $707.95	Professional		$467.74	$588.84	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $3,630.78	Facility		$1,778.28	$3,548.13	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $1,096.48	Professional		$8.91	$11.22	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,548.82 / $1,995.26	Facility		$100.00	$1,548.82	$1,995.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,288.25	Professional		$416.87	$537.03	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $2,290.87	Facility		$478.63	$933.25	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,096.48	Professional		$512.86	$870.96	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $707.95 / $1,148.15	Professional		$100.00	$707.95	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,258.93	Professional		$575.44	$707.95	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
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 $426.58 / $707.95 / $1,778.28	Facility		$426.58	$707.95	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $707.95	Professional		$512.86	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $707.95	Facility		$302.00	$389.05	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $1,258.93	Professional		$302.00	$323.59	$1,258.93