Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $430.89 / $1,139.07	Facility		$157.41	$430.89	$1,139.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $153.72 / $539.79	Professional		$96.30	$153.72	$539.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $377.18 / $913.04	Facility		$189.89	$377.18	$913.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $82.96 / $277.80	Professional		$74.08	$82.96	$277.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $244.46 / $1,661.24	Facility		$59.40	$244.46	$1,661.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $120.38 / $301.01	Professional		$84.27	$120.38	$301.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $310.58 / $619.96	Facility		$122.19	$310.58	$619.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $155.25 / $581.04	Professional		$98.59	$155.25	$581.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $185.20 / $250.02	Professional		$148.16	$185.20	$250.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $212.98 / $407.44	Professional		$166.68	$212.98	$407.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.25 / $879.70 / $879.70	Facility		$322.25	$879.70	$879.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $922.30 / $922.30 / $1,389.00	Professional		$922.30	$922.30	$1,389.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $222.24 / $491.39	Facility		$148.16	$222.24	$491.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $212.98 / $507.50	Professional		$102.81	$212.98	$507.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.68 / $251.87	Professional		$148.16	$166.68	$251.87
United Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $185.20 / $185.20	Facility		$77.78	$185.20	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $80.93 / $411.70	Professional		$77.78	$80.93	$411.70