Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,412.54 / $2,570.40	Facility		$549.54	$1,412.54	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $1,621.81	Professional		$288.40	$398.11	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $758.58	Facility		$44.67	$48.98	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $316.23 / $616.60	Professional		$42.66	$316.23	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $213.80 / $478.63	Facility		$91.20	$213.80	$478.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,318.26	Professional		$489.78	$707.95	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $275.42 / $549.54	Facility		$46.77	$275.42	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $346.74	Professional		$281.84	$281.84	$346.74
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 $398.11 / $602.56 / $1,862.09	Professional		$398.11	$602.56	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
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 $147.91 / $398.11 / $524.81	Facility		$147.91	$398.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $426.58	Facility		$269.15	$281.84	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $398.11	Professional		$19.95	$28.84	$398.11