Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.69 / $164.69 / $183.84	Facility		$164.69	$164.69	$183.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $225.55 / $407.26	Professional		$183.84	$225.55	$407.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $32.93 / $87.71	Facility		$27.42	$32.93	$87.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.82 / $303.10 / $990.49	Professional		$236.82	$303.10	$990.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $86.74 / $113.25	Facility		$56.75	$86.74	$113.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $620.46 / $855.36	Professional		$458.40	$620.46	$855.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $430.88	Facility		$36.40	$36.40	$430.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $596.25 / $745.31	Professional		$40.57	$596.25	$745.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.56 / $478.56 / $574.27	Professional		$478.56	$478.56	$574.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $498.50	Facility		$65.00	$100.00	$498.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.07 / $190.67 / $382.58	Facility		$45.07	$190.67	$382.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $49.28 / $441.65	Professional		$36.40	$49.28	$441.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.56 / $478.56 / $717.84	Professional		$478.56	$478.56	$717.84
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $26.94 / $260.72	Professional		$23.96	$26.94	$260.72