Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.94 / $1,277.23 / $3,979.52	Facility		$499.94	$1,277.23	$3,979.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.06 / $485.35 / $603.59	Professional		$449.06	$485.35	$603.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $44.68 / $491.10	Professional		$28.23	$44.68	$491.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.83 / $542.83 / $542.83	Facility		$542.83	$542.83	$542.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.08 / $2,270.08 / $2,270.08	Professional		$2,270.08	$2,270.08	$2,270.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,204.14 / $2,521.67 / $2,521.67	Facility		$2,204.14	$2,521.67	$2,521.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.64 / $496.02 / $729.78	Facility		$400.64	$496.02	$729.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.58 / $659.57 / $2,270.08	Professional		$402.58	$659.57	$2,270.08
United Facility/Professional Professional Modifier Low / Median / High Price $402.65 / $446.64 / $1,145.33	Professional		$402.65	$446.64	$1,145.33