Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $7,244.36	Facility		$1,778.28	$4,365.16	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $3,090.30	Professional		$831.76	$1,047.13	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,174.90	Facility		$741.31	$1,023.29	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $3,548.13	Professional		$812.83	$1,288.25	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $436.52 / $10,715.19	Facility		$69.18	$436.52	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,630.27	Professional		$1,148.15	$1,548.82	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $109.65 / $2,818.38	Facility		$28.18	$109.65	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,288.25 / $1,621.81	Professional		$524.81	$1,288.25	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,754.23	Professional		$1,000.00	$1,380.38	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $1,230.27 / $2,691.53	Facility		$42.66	$1,230.27	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $2,754.23	Professional		$524.81	$758.58	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $645.65	Facility		$281.84	$524.81	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $2,570.40	Professional		$416.87	$741.31	$2,570.40