Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,137.96 / $3,630.78	Facility		$741.31	$2,137.96	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $512.86	Professional		$346.74	$426.58	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $2,691.53	Facility		$1,318.26	$2,630.27	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $363.08	Professional		$69.18	$83.18	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $1,202.26	Professional		$309.03	$416.87	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $870.96 / $1,778.28	Facility		$346.74	$870.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $794.33	Professional		$380.19	$645.65	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $524.81 / $851.14	Professional		$100.00	$524.81	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $912.01	Professional		$416.87	$524.81	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
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 $316.23 / $602.56 / $1,348.96	Facility		$316.23	$602.56	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $524.81	Professional		$380.19	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $288.40 / $524.81	Facility		$218.78	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $933.25	Professional		$218.78	$239.88	$933.25