Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.75 / $1,824.72 / $5,926.30	Facility		$672.75	$1,824.72	$5,926.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.87 / $672.75 / $762.45	Professional		$488.87	$672.75	$762.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $4,493.97	Facility		$244.00	$614.00	$4,493.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $11.41 / $658.39	Professional		$10.28	$11.41	$658.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $1,228.89 / $8,252.40	Facility		$59.30	$1,228.89	$8,252.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $408.14 / $583.04 / $833.82	Professional		$408.14	$583.04	$833.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.79 / $1,037.83 / $2,268.06	Facility		$591.79	$1,037.83	$2,268.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,093.21 / $1,366.51	Professional		$1,030.84	$1,093.21	$1,366.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $897.00 / $1,435.20	Professional		$99.00	$897.00	$1,435.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $897.00 / $1,569.75	Professional		$717.60	$897.00	$1,569.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,560.78 / $4,260.75 / $4,260.75	Facility		$1,560.78	$4,260.75	$4,260.75
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 $538.20 / $833.76 / $1,614.60	Facility		$538.20	$833.76	$1,614.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $690.69 / $852.15 / $897.00	Professional		$690.69	$852.15	$897.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $1,426.23	Professional		$376.74	$376.74	$1,426.23