Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $114.90 / $128.26	Facility		$114.90	$114.90	$128.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $139.44 / $225.62	Professional		$128.26	$139.44	$225.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $22.65 / $60.32	Facility		$18.86	$22.65	$60.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.70 / $194.57 / $484.93	Professional		$181.70	$194.57	$484.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $48.31 / $68.70	Facility		$33.02	$48.31	$68.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $236.52 / $236.52 / $286.27	Professional		$236.52	$236.52	$286.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $286.67	Facility		$178.86	$178.86	$286.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $379.69	Professional		$152.03	$152.03	$379.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $325.25 / $325.25 / $390.30	Professional		$325.25	$325.25	$390.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $285.00 / $801.00	Professional		$220.00	$285.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.04 / $1,242.55 / $1,287.82	Facility		$270.04	$1,242.55	$1,287.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $154.19 / $322.64	Facility		$23.69	$154.19	$322.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $152.03 / $178.86	Professional		$22.55	$152.03	$178.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.25 / $325.25 / $487.88	Professional		$325.25	$325.25	$487.88
United Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $129.16 / $260.50	Professional		$110.44	$129.16	$260.50