Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $691.83 / $1,288.25	Facility		$288.40	$691.83	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $1,288.25	Professional		$125.89	$162.18	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $446.68 / $977.24	Facility		$89.13	$446.68	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $371.54	Professional		$77.62	$117.49	$371.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $446.68 / $1,862.09	Facility		$69.18	$446.68	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $380.19	Professional		$112.20	$147.91	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $707.95	Facility		$128.82	$331.13	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $457.09	Professional		$102.33	$134.90	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $263.03	Professional		$154.88	$194.98	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $338.84	Professional		$173.78	$213.80	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,445.44	Professional		$954.99	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $501.19	Facility		$147.91	$234.42	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $407.38	Professional		$102.33	$194.98	$407.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $2,344.23	Professional		$154.88	$194.98	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $194.98	Facility		$81.28	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $371.54	Professional		$81.28	$81.28	$371.54