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 / $426.58 / $549.54	Professional		$275.42	$426.58	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.98 / $3.98	Professional		$3.39	$3.98	$3.98
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 $354.81 / $1,000.00 / $4,168.69	Facility		$354.81	$1,000.00	$4,168.69
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 $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
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 $302.00 / $436.52 / $794.33	Facility		$302.00	$436.52	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $891.25	Facility		$549.54	$575.44	$891.25