Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $23.44 / $39.81	Facility		$7.76	$23.44	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $234.42 / $338.84	Professional		$3.98	$234.42	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,778.28 / $1,819.70	Facility		$891.25	$1,778.28	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.13 / $245.47	Professional		$4.27	$5.13	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $831.76	Professional		$208.93	$281.84	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $602.56 / $1,202.26	Facility		$239.88	$602.56	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $549.54	Professional		$257.04	$436.52	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $354.81 / $575.44	Professional		$100.00	$354.81	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $630.96	Professional		$288.40	$354.81	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
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 $208.93 / $407.38 / $912.01	Facility		$208.93	$407.38	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $354.81	Professional		$257.04	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $354.81	Facility		$151.36	$194.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $630.96	Professional		$151.36	$162.18	$630.96