Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.06 / $794.88 / $2,581.59	Facility		$293.06	$794.88	$2,581.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $293.06 / $332.14	Professional		$212.96	$293.06	$332.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,957.66	Facility		$244.00	$614.00	$1,957.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $50.80 / $286.81	Professional		$45.77	$50.80	$286.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $533.76 / $3,548.01	Facility		$59.90	$533.76	$3,548.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $253.99 / $363.23	Professional		$177.79	$253.99	$363.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $452.10 / $988.02	Facility		$261.67	$452.10	$988.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $561.16 / $595.24	Professional		$448.93	$561.16	$595.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $390.75 / $625.20	Professional		$99.00	$390.75	$625.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $390.75 / $683.81	Professional		$312.60	$390.75	$683.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $679.91 / $1,856.06 / $1,856.06	Facility		$679.91	$1,856.06	$1,856.06
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 $234.45 / $351.68 / $703.35	Facility		$234.45	$351.68	$703.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $320.41 / $390.75 / $390.75	Professional		$320.41	$390.75	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $621.29	Professional		$164.12	$164.12	$621.29