Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,648.66 / $4,712.39	Facility		$475.00	$1,648.66	$4,712.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $400.04 / $475.00	Professional		$318.75	$400.04	$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 $597.51 / $597.51 / $1,195.00	Professional		$597.51	$597.51	$1,195.00
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 $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
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 / $1,561.52 / $3,761.68	Facility		$100.00	$1,561.52	$3,761.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.87 / $1,921.87 / $1,921.87	Professional		$1,921.87	$1,921.87	$1,921.87
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 $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81