Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $483.91 / $1,330.20	Facility		$138.90	$483.91	$1,330.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $153.72 / $157.41	Professional		$100.93	$153.72	$157.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $927.85	Facility		$244.00	$614.00	$927.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $242.63 / $355.58	Professional		$144.66	$242.63	$355.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $244.46 / $1,661.24	Facility		$59.30	$244.46	$1,661.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $120.38 / $301.01	Professional		$84.27	$120.38	$301.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $310.58 / $619.96	Facility		$122.19	$310.58	$619.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $185.20 / $250.02	Professional		$148.16	$185.20	$250.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $212.98 / $393.93	Professional		$166.68	$212.98	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $922.30 / $922.30 / $1,389.00	Professional		$922.30	$922.30	$1,389.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $222.24 / $491.39	Facility		$148.16	$222.24	$491.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $203.72 / $277.80	Professional		$185.20	$203.72	$277.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.68 / $251.87	Professional		$148.16	$166.68	$251.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $83.34 / $497.39	Professional		$77.78	$83.34	$497.39