Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $122.80 / $337.58	Facility		$35.25	$122.80	$337.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $39.01 / $39.95	Professional		$25.62	$39.01	$39.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $260.00 / $876.00	Facility		$203.00	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $58.08 / $87.13	Professional		$36.71	$58.08	$87.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $98.10 / $421.59	Facility		$57.10	$98.10	$421.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $30.55 / $92.03	Professional		$21.39	$30.55	$92.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $78.81 / $157.33	Facility		$31.01	$78.81	$157.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $51.70 / $63.45	Professional		$47.00	$51.70	$63.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $54.05 / $102.46	Professional		$42.30	$54.05	$102.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $223.25 / $223.25	Facility		$81.78	$223.25	$223.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.06 / $234.06 / $352.50	Professional		$234.06	$234.06	$352.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $56.40 / $124.71	Facility		$37.60	$56.40	$124.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $51.70 / $70.50	Professional		$47.00	$51.70	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $20.54 / $120.93	Professional		$19.73	$20.54	$120.93