Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $69.18 / $478.63	Facility		$21.88	$69.18	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.18 / $70.79	Facility		$22.39	$28.18	$70.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $199.53 / $489.78	Facility		$69.18	$199.53	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $1,174.90	Facility		$309.03	$389.05	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $114.82	Professional		$19.50	$23.44	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $64.57 / $125.89	Professional		$18.62	$64.57	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $58.88 / $120.23	Facility		$22.39	$58.88	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $549.54	Facility		$338.84	$354.81	$549.54