Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $80.09 / $133.00	Professional		$50.11	$80.09	$133.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $61.28 / $61.28	Facility		$61.28	$61.28	$61.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $86.68 / $207.67	Professional		$54.34	$86.68	$207.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $159.03 / $432.61	Facility		$95.10	$159.03	$432.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $69.73 / $129.53	Professional		$47.16	$69.73	$129.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $94.99 / $207.67	Professional		$58.93	$94.99	$207.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $36.40 / $53.10	Professional		$29.12	$36.40	$53.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $106.00 / $201.26	Professional		$57.56	$106.00	$201.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $278.07 / $278.07	Facility		$255.86	$278.07	$278.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.27 / $736.17 / $815.78	Professional		$368.27	$736.17	$815.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $106.66 / $275.52	Facility		$64.44	$106.66	$275.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $99.43 / $229.38	Professional		$60.00	$99.43	$229.38
United Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $88.66 / $173.16	Professional		$67.09	$88.66	$173.16