Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $504.94 / $1,276.78	Facility		$160.40	$504.94	$1,276.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $160.40 / $307.87	Professional		$125.61	$160.40	$307.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.14 / $393.57 / $952.72	Facility		$198.14	$393.57	$952.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $86.57 / $289.87	Professional		$77.30	$86.57	$289.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $255.09 / $1,733.45	Facility		$59.30	$255.09	$1,733.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $125.61 / $314.08	Professional		$87.93	$125.61	$314.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.49 / $324.07 / $646.89	Facility		$127.49	$324.07	$646.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $161.97 / $606.22	Professional		$102.30	$161.97	$606.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $193.25 / $260.89	Professional		$154.60	$193.25	$260.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $222.24 / $425.15	Professional		$173.93	$222.24	$425.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $917.94 / $917.94	Facility		$336.26	$917.94	$917.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $962.39 / $962.39 / $1,449.38	Professional		$962.39	$962.39	$1,449.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $231.90 / $512.74	Facility		$154.60	$231.90	$512.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $222.24 / $529.30	Professional		$107.27	$222.24	$529.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $173.93 / $262.82	Professional		$154.60	$173.93	$262.82
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $387.85	Professional		$81.17	$81.17	$387.85