Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,235.94	Facility		$741.31	$1,819.70	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,230.27	Professional		$371.54	$478.63	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $3,311.31	Facility		$954.99	$1,047.13	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,659.59	Professional		$776.25	$891.25	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $239.88 / $2,089.30	Facility		$91.20	$239.88	$2,089.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,584.89	Professional		$588.84	$831.76	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $1,318.26 / $2,398.83	Facility		$46.77	$1,318.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
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 $645.65 / $891.25 / $1,513.56	Professional		$645.65	$891.25	$1,513.56
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 $363.08 / $524.81 / $2,041.74	Facility		$363.08	$524.81	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $2,041.74	Facility		$1,288.25	$1,318.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $269.15	Professional		$19.95	$28.84	$269.15