Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $60.81 / $115.36	Professional		$29.61	$60.81	$115.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Facility		$36.11	$36.11	$36.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $66.17 / $151.80	Professional		$32.03	$66.17	$151.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $131.13 / $356.73	Facility		$95.10	$131.13	$356.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $49.00 / $99.63	Professional		$28.62	$49.00	$99.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $69.09 / $171.57	Professional		$34.53	$69.09	$171.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $36.04 / $54.06	Professional		$28.83	$36.04	$54.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $81.20 / $176.82	Professional		$37.25	$81.20	$176.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $164.26 / $164.26	Facility		$151.40	$164.26	$164.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $318.93 / $564.59 / $714.83	Professional		$318.93	$564.59	$714.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $83.81 / $155.15	Facility		$38.00	$83.81	$155.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $73.00 / $178.11	Professional		$35.13	$73.00	$178.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $41.39 / $121.55	Professional		$33.86	$41.39	$121.55
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $74.25 / $150.55	Professional		$52.66	$74.25	$150.55