Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.13 / $2,745.29 / $7,124.54	Facility		$1,046.13	$2,745.29	$7,124.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.64 / $1,017.19 / $2,702.40	Professional		$877.64	$1,017.19	$2,702.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $742.82 / $1,060.90	Facility		$260.00	$742.82	$1,060.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.00 / $3,362.28	Professional		$1,000.00	$1,513.00	$3,362.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $101.79 / $10,355.29	Facility		$59.90	$101.79	$10,355.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $934.33 / $1,277.09 / $2,087.77	Professional		$934.33	$1,277.09	$2,087.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $120.29 / $3,045.05	Facility		$30.72	$120.29	$3,045.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.70 / $1,302.19 / $1,627.74	Professional		$528.70	$1,302.19	$1,627.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $1,365.00 / $2,624.00	Professional		$700.00	$1,365.00	$2,624.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,153.98 / $6,928.83 / $6,928.83	Facility		$2,153.98	$6,928.83	$6,928.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $1,219.53 / $2,519.34	Facility		$43.39	$1,219.53	$2,519.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.25 / $1,057.69 / $5,226.09	Professional		$526.25	$1,057.69	$5,226.09
United Facility/Professional Professional Modifier Low / Median / High Price $415.17 / $593.09 / $2,248.14	Professional		$415.17	$593.09	$2,248.14