Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Facility		$69.18	$69.18	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $125.89	Professional		$69.18	$93.33	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $97.72 / $125.89	Professional		$15.85	$97.72	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $134.90	Professional		$95.50	$125.89	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $239.88	Professional		$177.83	$199.53	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $269.15	Facility		$138.04	$181.97	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $177.83	Professional		$125.89	$125.89	$177.83