Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.13 / $1,611.49 / $5,233.70	Facility		$594.13	$1,611.49	$5,233.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.73 / $594.13 / $673.35	Professional		$431.73	$594.13	$673.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,968.77	Facility		$244.00	$614.00	$3,968.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $221.49 / $545.01	Professional		$201.36	$221.49	$545.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $1,360.16 / $2,178.46	Facility		$99.00	$1,360.16	$2,178.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $360.44 / $514.91 / $736.37	Professional		$360.44	$514.91	$736.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.63 / $1,040.11 / $2,008.15	Facility		$522.63	$1,040.11	$2,008.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.13 / $990.16 / $1,137.82	Professional		$792.13	$990.16	$1,137.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $792.17 / $1,267.47	Professional		$99.00	$792.17	$1,267.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.74 / $792.17 / $1,386.30	Professional		$633.74	$792.17	$1,386.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,378.38 / $3,762.81 / $3,762.81	Facility		$1,378.38	$3,762.81	$3,762.81
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 $548.76 / $744.64 / $1,425.91	Facility		$548.76	$744.64	$1,425.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.58 / $792.17 / $871.39	Professional		$649.58	$792.17	$871.39
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $332.71 / $1,212.02	Professional		$332.71	$332.71	$1,212.02