Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $1,347.86 / $4,377.52	Facility		$496.94	$1,347.86	$4,377.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $496.94 / $563.19	Professional		$361.11	$496.94	$563.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,319.53	Facility		$244.00	$614.00	$3,319.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.57 / $404.17	Professional		$12.34	$13.57	$404.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.48 / $430.68 / $615.91	Professional		$301.48	$430.68	$615.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $869.97 / $1,679.65	Facility		$437.14	$869.97	$1,679.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $828.06 / $951.45	Professional		$662.45	$828.06	$951.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $662.58 / $1,060.13	Professional		$99.00	$662.58	$1,060.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.05 / $662.58 / $1,159.52	Professional		$530.05	$662.58	$1,159.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.89 / $3,147.26 / $3,147.26	Facility		$1,152.89	$3,147.26	$3,147.26
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 $459.00 / $622.83 / $1,192.64	Facility		$459.00	$622.83	$1,192.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.32 / $662.58 / $728.84	Professional		$543.32	$662.58	$728.84
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $278.27 / $1,117.45	Professional		$278.27	$278.27	$1,117.45