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 $109.44 / $121.61 / $165.94	Professional		$109.44	$121.61	$165.94
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 $110.21 / $150.94 / $309.97	Professional		$110.21	$150.94	$309.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $131.03 / $286.41	Professional		$99.27	$131.03	$286.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $922.58 / $2,312.23	Facility		$629.00	$922.58	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $158.19 / $337.42	Professional		$117.79	$158.19	$337.42
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 $196.00 / $267.00 / $535.00	Professional		$196.00	$267.00	$535.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,254.48 / $3,728.65	Facility		$55.00	$3,254.48	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $872.64 / $898.24 / $1,046.40	Professional		$872.64	$898.24	$1,046.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $85.00 / $632.42	Professional		$29.13	$85.00	$632.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $158.61 / $223.87	Facility		$116.28	$158.61	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $155.28 / $333.28	Professional		$116.93	$155.28	$333.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,067.58 / $3,928.00 / $9,131.00	Facility		$1,067.58	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $132.80 / $295.77	Professional		$98.28	$132.80	$295.77