Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,985.76 / $5,458.70	Facility		$570.00	$1,985.76	$5,458.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $630.79 / $646.00	Professional		$414.20	$630.79	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,807.60	Facility		$244.00	$614.00	$3,807.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $964.74 / $1,590.98	Professional		$846.27	$964.74	$1,590.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,147.59 / $2,090.00	Facility		$97.00	$1,147.59	$2,090.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $1,235.25	Professional		$345.80	$494.00	$1,235.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.93 / $879.32 / $1,921.66	Facility		$508.93	$879.32	$1,921.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,026.00	Professional		$760.00	$836.00	$1,026.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $874.00 / $1,451.60	Professional		$684.00	$874.00	$1,451.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,784.80 / $3,784.80 / $5,700.00	Professional		$3,784.80	$3,784.80	$5,700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $912.00 / $1,695.95	Facility		$608.00	$912.00	$1,695.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,140.00	Professional		$760.00	$836.00	$1,140.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $343.30 / $2,082.78	Professional		$319.20	$343.30	$2,082.78