Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.19 / $506.30 / $1,577.59	Facility		$198.19	$506.30	$1,577.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $192.35 / $239.09	Professional		$178.02	$192.35	$239.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $44.68 / $194.36	Professional		$28.23	$44.68	$194.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.49 / $215.49 / $215.49	Facility		$215.49	$215.49	$215.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.60 / $899.60 / $899.60	Professional		$899.60	$899.60	$899.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $873.48 / $999.31 / $999.31	Facility		$873.48	$999.31	$999.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $196.50 / $289.19	Facility		$158.50	$196.50	$289.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.26 / $260.93 / $899.60	Professional		$159.26	$260.93	$899.60
United Facility/Professional Professional Modifier Low / Median / High Price $163.98 / $177.00 / $463.20	Professional		$163.98	$177.00	$463.20