Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.98 / $1,063.22 / $2,202.23	Facility		$248.98	$1,063.22	$2,202.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $241.67 / $288.95	Professional		$175.10	$241.67	$288.95
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 $248.40 / $790.47 / $915.66	Professional		$248.40	$790.47	$915.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $197.33 / $2,037.65	Facility		$70.50	$197.33	$2,037.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $980.20 / $3,025.00	Facility		$633.00	$980.20	$3,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.39 / $1,202.06 / $1,202.06	Professional		$405.39	$1,202.06	$1,202.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $979.25 / $979.25 / $1,028.21	Professional		$979.25	$979.25	$1,028.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.41 / $3,961.55 / $3,961.55	Facility		$593.41	$3,961.55	$3,961.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,857.52 / $1,910.32 / $2,153.92	Professional		$1,857.52	$1,910.32	$2,153.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.93 / $337.33 / $478.46	Facility		$240.93	$337.33	$478.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $281.11 / $1,202.06	Professional		$264.48	$281.11	$1,202.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.73 / $3,964.00 / $9,131.00	Facility		$1,106.73	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $292.39 / $657.89	Professional		$204.68	$292.39	$657.89