Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $1,584.89	Facility		$407.38	$933.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $1,122.02	Professional		$213.80	$275.42	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $1,479.11	Facility		$234.42	$263.03	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $416.87	Professional		$186.21	$223.87	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $218.78 / $933.25	Facility		$91.20	$218.78	$933.25
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 $46.77 / $331.13 / $954.99	Facility		$46.77	$331.13	$954.99
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 $263.03 / $630.96 / $831.76	Professional		$263.03	$630.96	$831.76
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 $138.04 / $275.42 / $776.25	Facility		$138.04	$275.42	$776.25
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 / $239.88	Professional		$19.95	$28.84	$239.88