Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $203.30 / $393.83	Professional		$171.91	$203.30	$393.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $33.86 / $33.86	Facility		$30.56	$33.86	$33.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.56 / $383.30 / $528.15	Professional		$338.56	$383.30	$528.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $66.68 / $66.68	Facility		$66.68	$66.68	$66.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $417.55	Facility		$238.50	$238.50	$417.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $642.00	Professional		$202.73	$238.50	$642.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $392.19 / $470.63	Professional		$392.19	$392.19	$470.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $361.00 / $801.00	Professional		$41.47	$361.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.97 / $2,575.35 / $2,669.26	Facility		$338.97	$2,575.35	$2,669.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $238.50 / $617.29	Facility		$56.31	$238.50	$617.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $642.00	Professional		$202.73	$238.50	$642.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $392.19 / $392.19 / $392.19	Professional		$392.19	$392.19	$392.19
United Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $129.69 / $254.03	Facility		$19.92	$129.69	$254.03
United Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $184.62 / $401.99	Professional		$164.51	$184.62	$401.99