Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,884.03 / $10,964.78	Facility		$295.12	$2,884.03	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $331.13 / $1,862.09	Professional		$104.71	$331.13	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,949.84 / $2,818.38	Facility		$0.02	$1,949.84	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,862.09 / $3,548.13	Professional		$794.33	$1,862.09	$3,548.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $79.43	Professional		$28.18	$38.90	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $275.42	Professional		$204.17	$204.17	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $912.01	Professional		$407.38	$758.58	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $331.13 / $2,187.76	Facility		$147.91	$331.13	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,981.07	Professional		$2,187.76	$2,187.76	$3,981.07