Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $103.08 / $390.00	Professional		$76.19	$103.08	$390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.43 / $281.06	Facility		$11.22	$12.43	$281.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $175.50 / $206.54	Professional		$124.29	$175.50	$206.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $294.45 / $294.45	Facility		$294.45	$294.45	$294.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $197.59	Professional		$100.00	$100.00	$197.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $197.59	Facility		$110.00	$110.00	$197.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $234.38	Professional		$93.50	$93.50	$234.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $127.10 / $152.52	Professional		$127.10	$127.10	$152.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $196.21 / $801.00	Professional		$172.07	$196.21	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.32 / $801.83 / $831.06	Facility		$207.32	$801.83	$831.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $110.00 / $206.60	Facility		$24.86	$110.00	$206.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $93.50 / $110.00	Professional		$21.13	$93.50	$110.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $127.10 / $127.10	Professional		$127.10	$127.10	$127.10
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $87.61 / $173.67	Professional		$73.62	$87.61	$173.67