Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,041.74 / $4,168.69	Facility		$912.01	$2,041.74	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $549.54	Professional		$275.42	$316.23	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $954.99	Professional		$309.03	$562.34	$954.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.60 / $1,000.00	Facility		$100.00	$616.60	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $691.83 / $4,168.69	Facility		$281.84	$691.83	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $831.76	Professional		$389.05	$389.05	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $2,630.27	Facility		$1,621.81	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $707.95	Facility		$275.42	$416.87	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $389.05	Professional		$60.26	$60.26	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $602.56	Facility		$380.19	$389.05	$602.56