Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $404.25 / $1,246.13	Facility		$163.55	$404.25	$1,246.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $180.99 / $185.35	Professional		$143.11	$180.99	$185.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $444.10 / $1,075.04	Facility		$218.06	$444.10	$1,075.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $89.83 / $218.92	Professional		$87.22	$89.83	$218.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $297.87 / $1,979.98	Facility		$59.90	$297.87	$1,979.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $218.06 / $311.85	Professional		$152.63	$218.06	$311.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $280.64 / $703.03	Facility		$141.74	$280.64	$703.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $265.56 / $331.95	Professional		$156.30	$265.56	$331.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $218.06 / $348.90	Professional		$99.00	$218.06	$348.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $218.06 / $425.22	Professional		$174.45	$218.06	$425.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.90 / $1,035.79 / $1,035.79	Facility		$348.90	$1,035.79	$1,035.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $218.06 / $520.62	Facility		$113.39	$218.06	$520.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $218.06 / $261.67	Professional		$156.30	$218.06	$261.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $218.06 / $305.27	Professional		$174.45	$218.06	$305.27
United Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $130.84 / $155.19	Facility		$98.13	$130.84	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $367.76	Professional		$91.59	$91.59	$367.76