Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $338.84	Professional		$162.18	$288.40	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $741.31 / $100,000.00	Professional		$251.19	$741.31	$100,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $645.65	Professional		$199.53	$199.53	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $645.65	Professional		$204.17	$204.17	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $275.42	Professional		$177.83	$208.93	$275.42