Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $217.30 / $824.88	Facility		$105.33	$217.30	$824.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $123.93 / $139.84	Professional		$105.33	$123.93	$139.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $486.00 / $876.00	Facility		$7.79	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.16 / $54.93	Professional		$6.00	$12.16	$54.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $18.60 / $34.88	Facility		$7.03	$18.60	$34.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.50 / $6.25	Professional		$1.75	$2.50	$6.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $73.09 / $190.02	Facility		$64.69	$73.09	$190.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $105.33 / $131.65	Professional		$91.48	$105.33	$131.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $79.61 / $127.38	Professional		$79.61	$79.61	$127.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $79.61 / $175.14	Professional		$63.69	$79.61	$175.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.52 / $378.15 / $378.15	Facility		$138.52	$378.15	$378.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $105.33 / $159.22	Facility		$67.67	$105.33	$159.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $79.61 / $159.22	Professional		$65.28	$79.61	$159.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $79.61 / $111.45	Professional		$63.69	$79.61	$111.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $46.71 / $171.47	Professional		$43.91	$46.71	$171.47