Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,466.84 / $7,762.47	Facility		$1,698.24	$4,466.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,659.59	Professional		$831.76	$977.24	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $1,047.13	Facility		$741.31	$912.01	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,949.84	Professional		$891.25	$1,096.48	$1,949.84
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 $269.15 / $380.19 / $724.44	Professional		$269.15	$380.19	$724.44
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 $741.31 / $891.25 / $1,122.02	Professional		$741.31	$891.25	$1,122.02
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 $1,096.48 / $1,698.24 / $6,025.60	Professional		$1,096.48	$1,698.24	$6,025.60
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 / $831.76 / $1,174.90	Facility		$147.91	$831.76	$1,174.90
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 / $1,445.44	Professional		$19.95	$28.84	$1,445.44