Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $354.81	Professional		$112.20	$131.83	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $295.12	Professional		$74.13	$165.96	$295.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,995.26 / $7,762.47	Facility		$66.07	$1,995.26	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $288.40	Professional		$117.49	$165.96	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $1,258.93	Facility		$630.96	$831.76	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $346.74	Professional		$117.49	$162.18	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Professional		$912.01	$912.01	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $512.86	Professional		$194.98	$281.84	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,715.35	Facility		$54.95	$56.23	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,047.13	Professional		$870.96	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $245.47	Facility		$117.49	$158.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $331.13	Professional		$112.20	$154.88	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $245.47	Professional		$97.72	$131.83	$245.47