Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,829.00 / $18,252.00	Facility		$1,174.00	$5,829.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $54.49 / $75.06	Professional		$49.48	$54.49	$75.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $71.61 / $316.77	Professional		$54.64	$71.61	$316.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $60.25 / $129.61	Professional		$44.88	$60.25	$129.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $900.00 / $2,217.85	Facility		$351.29	$900.00	$2,217.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $71.64 / $170.03	Professional		$52.85	$71.64	$170.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $921.68 / $921.68 / $967.76	Professional		$921.68	$921.68	$967.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $145.00 / $328.00	Professional		$107.00	$145.00	$328.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $308.22 / $3,728.65	Facility		$55.00	$308.22	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $772.72 / $772.72 / $772.72	Professional		$772.72	$772.72	$772.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $85.00 / $280.36	Professional		$38.72	$85.00	$280.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $72.89 / $101.02	Facility		$53.61	$72.89	$101.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $70.44 / $170.03	Professional		$52.80	$70.44	$170.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $3,964.00 / $9,131.00	Facility		$1,067.58	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $60.57 / $134.66	Professional		$44.52	$60.57	$134.66