Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,691.53 / $4,570.88	Facility		$933.25	$2,691.53	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $660.69	Professional		$436.52	$537.03	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $3,388.44	Facility		$1,659.59	$3,311.31	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $660.69	Professional		$12.30	$14.79	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,202.26	Professional		$389.05	$501.19	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $954.99 / $2,238.72	Facility		$446.68	$954.99	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $954.99	Professional		$660.69	$758.58	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $660.69 / $1,071.52	Professional		$100.00	$660.69	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,148.15	Professional		$524.81	$660.69	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
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 $501.19 / $741.31 / $1,548.82	Facility		$501.19	$741.31	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $724.44	Professional		$512.86	$660.69	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $363.08 / $660.69	Facility		$275.42	$363.08	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $1,174.90	Professional		$275.42	$302.00	$1,174.90