Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $458.29 / $1,158.82	Facility		$145.58	$458.29	$1,158.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $145.58 / $279.43	Professional		$114.01	$145.58	$279.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $357.22 / $876.00	Facility		$179.84	$357.22	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $78.56 / $263.10	Professional		$70.16	$78.56	$263.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $231.53 / $1,573.34	Facility		$59.40	$231.53	$1,573.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $114.01 / $285.08	Professional		$79.81	$114.01	$285.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $294.14 / $587.15	Facility		$115.72	$294.14	$587.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $147.07 / $737.11	Professional		$92.88	$147.07	$737.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $175.40 / $236.79	Professional		$140.32	$175.40	$236.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $201.71 / $385.88	Professional		$157.86	$201.71	$385.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $833.15 / $833.15	Facility		$305.20	$833.15	$833.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $873.49 / $873.49 / $1,315.50	Professional		$873.49	$873.49	$1,315.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.32 / $210.48 / $465.39	Facility		$140.32	$210.48	$465.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $201.71 / $490.18	Professional		$97.39	$201.71	$490.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $157.86 / $238.54	Professional		$140.32	$157.86	$238.54
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $387.28	Professional		$73.67	$73.67	$387.28