Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.16 / $2,855.58 / $7,410.81	Facility		$1,088.16	$2,855.58	$7,410.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.11 / $1,058.05 / $1,163.85	Professional		$718.11	$1,058.05	$1,163.85
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 $689.66 / $1,295.00 / $3,497.39	Professional		$689.66	$1,295.00	$3,497.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $116.85 / $376.01	Facility		$90.81	$116.85	$376.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $250.00 / $357.53	Professional		$175.00	$250.00	$357.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $89.36 / $3,254.74	Facility		$31.95	$89.36	$3,254.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.95 / $1,354.64 / $1,693.30	Professional		$549.95	$1,354.64	$1,693.30
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 $393.93 / $1,753.00 / $5,661.00	Professional		$393.93	$1,753.00	$5,661.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,240.08 / $7,207.17 / $7,207.17	Facility		$2,240.08	$7,207.17	$7,207.17
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 $39.77 / $1,268.35 / $2,692.71	Facility		$39.77	$1,268.35	$2,692.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.26 / $1,100.17 / $5,435.03	Professional		$547.26	$1,100.17	$5,435.03
United Facility/Professional Professional Modifier Low / Median / High Price $431.84 / $616.91 / $2,373.92	Professional		$431.84	$616.91	$2,373.92