Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,162.28 / $5,370.32	Facility		$1,202.26	$3,162.28	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,862.09	Professional		$602.56	$660.69	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $933.25 / $3,311.31	Facility		$851.14	$933.25	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,548.82	Professional		$724.44	$812.83	$1,548.82
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 $758.58 / $1,071.52 / $2,041.74	Professional		$758.58	$1,071.52	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $1,380.38 / $2,454.71	Facility		$46.77	$1,380.38	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
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 $794.33 / $1,513.56 / $1,949.84	Professional		$794.33	$1,513.56	$1,949.84
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 $478.63 / $660.69 / $2,041.74	Facility		$478.63	$660.69	$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 / $1,230.27	Professional		$19.95	$28.84	$1,230.27