Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,182.36 / $3,894.00	Facility		$475.00	$1,182.36	$3,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $425.00 / $475.00	Professional		$237.07	$425.00	$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 $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
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 / $961.00 / $3,605.00	Facility		$412.15	$961.00	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.98 / $1,717.98 / $1,717.98	Professional		$1,717.98	$1,717.98	$1,717.98
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 $638.07 / $660.00 / $660.00	Professional		$638.07	$660.00	$660.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,093.20	Facility		$100.00	$100.00	$1,093.20
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 $299.00 / $425.00 / $1,040.77	Facility		$299.00	$425.00	$1,040.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,717.98 / $1,717.98 / $1,717.98	Professional		$1,717.98	$1,717.98	$1,717.98