Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $81.62 / $98.22	Professional		$58.80	$81.62	$98.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $61.46 / $241.37	Professional		$54.68	$61.46	$241.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $98.96 / $229.13	Professional		$73.14	$98.96	$229.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.44 / $111.44 / $111.44	Facility		$111.44	$111.44	$111.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $55.40 / $163.01	Professional		$46.96	$55.40	$163.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $110.27 / $160.29	Professional		$82.67	$110.27	$160.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $104.73 / $165.53	Professional		$83.08	$104.73	$165.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $401.17 / $438.47 / $438.47	Facility		$401.17	$438.47	$438.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $594.52 / $781.80	Professional		$557.60	$594.52	$781.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $114.44 / $150.38	Facility		$80.73	$114.44	$150.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $110.88 / $250.68	Professional		$48.83	$110.88	$250.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $89.12 / $122.54	Professional		$80.95	$89.12	$122.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $63.44 / $249.39	Professional		$57.74	$63.44	$249.39