Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,128.61	Facility		$1,047.13	$3,090.30	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $758.58	Professional		$501.19	$616.60	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $3,801.89	Facility		$1,905.46	$3,715.35	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $1,148.15	Professional		$338.84	$407.38	$1,148.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,737.80 / $7,244.36	Facility		$69.18	$1,737.80	$7,244.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,380.38	Professional		$436.52	$562.34	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $2,511.89	Facility		$489.78	$977.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,148.15	Professional		$870.96	$912.01	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $758.58 / $1,202.26	Professional		$100.00	$758.58	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,318.26	Professional		$602.56	$758.58	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
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 $446.68 / $851.14 / $1,905.46	Facility		$446.68	$851.14	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $831.76	Professional		$575.44	$758.58	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $758.58	Facility		$316.23	$416.87	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $1,348.96	Professional		$316.23	$338.84	$1,348.96