Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $409.56 / $1,125.88	Facility		$117.56	$409.56	$1,125.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $130.10 / $133.24	Professional		$85.43	$130.10	$133.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $876.00	Facility		$244.00	$614.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.40 / $24.96	Professional		$13.28	$15.40	$24.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $101.89 / $254.78	Professional		$71.31	$101.89	$254.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $210.40 / $513.02	Facility		$104.97	$210.40	$513.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,640.24 / $1,807.50	Professional		$1,599.84	$1,640.24	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $180.26 / $211.61	Professional		$156.75	$180.26	$211.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $180.26 / $341.72	Professional		$141.08	$180.26	$341.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $272.75 / $744.56 / $744.56	Facility		$272.75	$744.56	$744.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $780.62 / $780.62 / $1,175.63	Professional		$780.62	$780.62	$1,175.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $188.10 / $411.06	Facility		$111.32	$188.10	$411.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $172.43 / $1,637.82	Professional		$156.75	$172.43	$1,637.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $159.88 / $266.48	Professional		$125.40	$159.88	$266.48
United Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $156.75 / $156.75	Facility		$65.84	$156.75	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $403.32	Professional		$65.84	$65.84	$403.32