Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.37 / $346.66	Professional		$136.32	$194.37	$346.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $24.71 / $24.71	Facility		$22.30	$24.71	$24.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $314.11 / $444.90	Professional		$247.07	$314.11	$444.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $526.86 / $526.86 / $526.86	Facility		$526.86	$526.86	$526.86
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 $43.40 / $219.78 / $304.54	Facility		$43.40	$219.78	$304.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $186.81 / $646.88	Professional		$186.81	$186.81	$646.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $369.54 / $369.54 / $443.45	Professional		$369.54	$369.54	$443.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.91 / $351.06 / $801.00	Professional		$307.91	$351.06	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $370.93 / $2,348.81 / $2,434.42	Facility		$370.93	$2,348.81	$2,434.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $221.72 / $523.29	Facility		$44.49	$221.72	$523.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $186.81 / $219.78	Professional		$141.35	$186.81	$219.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $369.54 / $369.54 / $369.54	Professional		$369.54	$369.54	$369.54
United Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $220.00 / $443.27	Professional		$169.62	$220.00	$443.27