Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,210.85 / $3,894.00	Facility		$475.00	$1,210.85	$3,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $400.00 / $475.00	Professional		$318.75	$400.00	$475.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $2,393.00	Facility		$203.00	$614.00	$2,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.51 / $720.15 / $1,181.00	Professional		$473.51	$720.15	$1,181.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $900.73 / $2,030.83	Facility		$97.00	$900.73	$2,030.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.15 / $998.29 / $3,605.00	Facility		$412.15	$998.29	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $283.74 / $283.74	Professional		$283.74	$283.74	$283.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $640.00 / $675.00	Professional		$240.00	$640.00	$675.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,520.96 / $2,647.01	Facility		$100.00	$2,520.96	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.47 / $1,463.47 / $1,463.47	Professional		$1,463.47	$1,463.47	$1,463.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $425.00 / $1,064.00	Facility		$318.75	$425.00	$1,064.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84