Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.67 / $225.40 / $432.01	Professional		$193.67	$225.40	$432.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $33.78 / $33.78	Facility		$30.49	$33.78	$33.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $345.01 / $620.89	Professional		$290.10	$345.01	$620.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.34 / $83.34 / $83.34	Facility		$83.34	$83.34	$83.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $483.19	Facility		$382.81	$382.81	$483.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $611.25	Professional		$325.39	$382.81	$611.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $604.55 / $604.55 / $725.47	Professional		$604.55	$604.55	$725.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $487.08 / $801.00	Professional		$459.00	$487.08	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $392.30 / $1,770.01 / $1,834.55	Facility		$392.30	$1,770.01	$1,834.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $280.10 / $483.19	Facility		$51.12	$280.10	$483.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $382.81 / $382.81	Professional		$325.39	$382.81	$382.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $604.55 / $604.55 / $604.55	Professional		$604.55	$604.55	$604.55
United Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $234.59 / $436.29	Professional		$197.93	$234.59	$436.29