Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $222.97 / $397.74	Professional		$156.27	$222.97	$397.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $28.33 / $28.33	Facility		$25.57	$28.33	$28.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.25 / $325.58 / $510.40	Professional		$283.25	$325.58	$510.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
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 $172.77 / $172.77 / $349.41	Facility		$172.77	$172.77	$349.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $592.50	Professional		$146.85	$172.77	$592.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $365.14 / $365.14 / $438.17	Professional		$365.14	$365.14	$438.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.88 / $352.99 / $801.00	Professional		$346.88	$352.99	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $366.52 / $2,290.40 / $2,373.91	Facility		$366.52	$2,290.40	$2,373.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $250.26 / $548.99	Facility		$51.04	$250.26	$548.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $265.00	Professional		$146.85	$172.77	$265.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $365.14 / $365.14 / $365.14	Professional		$365.14	$365.14	$365.14
United Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $214.81 / $312.69	Professional		$170.70	$214.81	$312.69