Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $290.57 / $338.68	Professional		$164.26	$290.57	$338.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.19 / $99,999.99 / $99,999.99	Professional		$273.19	$99,999.99	$99,999.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $457.88	Professional		$250.00	$250.00	$457.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $194.13 / $1,133.07	Facility		$194.13	$194.13	$1,133.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $232.08 / $800.00	Professional		$198.51	$232.08	$800.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $107.16 / $107.16	Professional		$107.16	$107.16	$107.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,372.22 / $1,535.20 / $1,535.20	Facility		$1,372.22	$1,535.20	$1,535.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.13 / $194.13 / $1,133.07	Facility		$194.13	$194.13	$1,133.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $650.00 / $800.00	Professional		$232.08	$650.00	$800.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $334.09 / $334.09 / $334.09	Professional		$334.09	$334.09	$334.09
United Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $205.17 / $273.14	Professional		$185.42	$205.17	$273.14