Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,162.28 / $5,248.07	Facility		$1,071.52	$3,162.28	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $741.31	Professional		$512.86	$630.96	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $3,890.45	Facility		$1,949.84	$3,890.45	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $741.31	Professional		$309.03	$457.09	$741.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,778.28	Professional		$446.68	$602.56	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $2,570.40	Facility		$512.86	$1,288.25	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $1,174.90	Professional		$549.54	$933.25	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $776.25 / $1,230.27	Professional		$100.00	$776.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,348.96	Professional		$616.60	$776.25	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $891.25 / $1,949.84	Facility		$467.74	$891.25	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $776.25	Professional		$549.54	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $776.25	Facility		$323.59	$426.58	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $1,380.38	Professional		$323.59	$354.81	$1,380.38