Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $350.47 / $963.39	Facility		$100.60	$350.47	$963.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $111.33 / $114.01	Professional		$73.09	$111.33	$114.01
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 $279.68 / $318.83 / $525.79	Professional		$279.68	$318.83	$525.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $202.54 / $368.86	Facility		$96.98	$202.54	$368.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $87.18 / $217.99	Professional		$61.03	$87.18	$217.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $155.18 / $339.13	Facility		$89.82	$155.18	$339.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $147.54 / $181.08	Professional		$134.13	$147.54	$181.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $154.25 / $292.39	Professional		$120.72	$154.25	$292.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.39 / $637.12 / $637.12	Facility		$233.39	$637.12	$637.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $667.97 / $667.97 / $1,005.98	Professional		$667.97	$667.97	$1,005.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $160.96 / $299.30	Facility		$107.30	$160.96	$299.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $147.54 / $201.20	Professional		$134.13	$147.54	$201.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $136.81 / $228.02	Professional		$107.30	$136.81	$228.02
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $296.16	Professional		$56.33	$56.33	$296.16