Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.07 / $541.67 / $1,369.68	Facility		$172.07	$541.67	$1,369.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $172.07 / $330.27	Professional		$134.75	$172.07	$330.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $422.21 / $1,022.04	Facility		$203.00	$422.21	$1,022.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $92.87 / $310.95	Professional		$82.92	$92.87	$310.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $273.64 / $1,859.57	Facility		$59.40	$273.64	$1,859.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $134.75 / $336.94	Professional		$94.33	$134.75	$336.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.77 / $347.66 / $693.96	Facility		$136.77	$347.66	$693.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $173.67 / $870.46	Professional		$109.68	$173.67	$870.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $207.31 / $279.87	Professional		$165.85	$207.31	$279.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $238.41 / $456.08	Professional		$186.58	$238.41	$456.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $360.72 / $984.72 / $984.72	Facility		$360.72	$984.72	$984.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.40 / $1,032.40 / $1,554.83	Professional		$1,032.40	$1,032.40	$1,554.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $248.77 / $550.04	Facility		$165.85	$248.77	$550.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $238.91 / $578.86	Professional		$115.01	$238.91	$578.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $186.58 / $281.95	Professional		$165.85	$186.58	$281.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.90 / $499.18	Professional		$87.07	$87.90	$499.18