Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,122.02 / $2,137.96	Facility		$245.47	$1,122.02	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $309.03	Professional		$131.83	$181.97	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $251.19	Facility		$151.36	$173.78	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $524.81 / $1,023.29	Professional		$151.36	$524.81	$1,023.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $169.82	Facility		$72.44	$128.82	$169.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $478.63	Professional		$181.97	$257.04	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $91.20 / $190.55	Facility		$38.02	$91.20	$190.55
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 $134.90 / $398.11 / $912.01	Professional		$134.90	$398.11	$912.01
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 $51.29 / $131.83 / $1,122.02	Facility		$51.29	$131.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $131.83	Facility		$83.18	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $35.48	Professional		$19.95	$28.84	$35.48