Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.20 / $311.20 / $1,428.66	Facility		$311.20	$311.20	$1,428.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $291.25 / $311.20	Professional		$242.71	$291.25	$311.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $1,294.00 / $1,610.00	Facility		$357.00	$1,294.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $204.20 / $500.00	Professional		$112.46	$204.20	$500.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $209.69 / $389.62	Facility		$85.50	$209.69	$389.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $78.75 / $167.12	Professional		$65.70	$78.75	$167.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $263.39	Facility		$263.39	$263.39	$263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.50 / $363.50 / $436.20	Professional		$363.50	$363.50	$436.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $520.00	Facility		$100.00	$100.00	$520.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $290.20 / $290.20	Professional		$290.20	$290.20	$290.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $292.31 / $523.23	Facility		$242.71	$292.31	$523.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $116.04 / $116.04	Professional		$116.04	$116.04	$116.04
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $57.70	Professional		$45.00	$45.00	$57.70