Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $123.84 / $202.21	Professional		$86.81	$123.84	$202.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $15.74 / $365.06	Facility		$14.21	$15.74	$365.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $198.95 / $354.17	Professional		$153.44	$198.95	$354.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $335.55 / $335.55 / $335.55	Facility		$335.55	$335.55	$335.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $225.16	Professional		$100.00	$100.00	$225.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $225.16	Facility		$174.27	$174.27	$225.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $174.27 / $384.38	Professional		$148.13	$174.27	$384.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $194.40 / $233.28	Professional		$194.40	$194.40	$233.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $196.10 / $801.00	Professional		$192.71	$196.10	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $1,325.73 / $1,374.08	Facility		$203.62	$1,325.73	$1,374.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $133.97 / $317.77	Facility		$28.38	$133.97	$317.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $174.27 / $180.00	Professional		$139.84	$174.27	$180.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $194.40 / $194.40	Professional		$194.40	$194.40	$194.40
United Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $116.71 / $235.17	Professional		$94.28	$116.71	$235.17