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 $316.23 / $371.54 / $549.54	Professional		$316.23	$371.54	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $1,071.52	Professional		$309.03	$562.34	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,000.00 / $1,288.25	Facility		$100.00	$1,000.00	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $4,168.69	Facility		$416.87	$1,047.13	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $630.96	Professional		$416.87	$426.58	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $2,630.27	Facility		$1,479.11	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
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 $316.23 / $426.58 / $794.33	Facility		$316.23	$426.58	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $436.52	Professional		$60.26	$60.26	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $891.25	Facility		$549.54	$575.44	$891.25