Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $457.09	Facility		$79.43	$83.18	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $354.81	Professional		$70.79	$83.18	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $134.90 / $281.84	Professional		$50.12	$134.90	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $794.33 / $5,754.40	Facility		$66.07	$794.33	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $208.93	Professional		$66.07	$95.50	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $218.78	Professional		$81.28	$100.00	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $199.53	Professional		$66.07	$93.33	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $154.88	Facility		$75.86	$95.50	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $218.78	Professional		$79.43	$102.33	$218.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $83.18	Professional		$60.26	$67.61	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $229.09	Professional		$64.57	$91.20	$229.09