Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $201.70 / $356.45	Professional		$173.29	$201.70	$356.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $30.00 / $30.00	Facility		$27.08	$30.00	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $360.26 / $564.48	Professional		$271.20	$360.26	$564.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.56 / $63.56 / $63.56	Facility		$63.56	$63.56	$63.56
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 $256.50 / $256.50 / $432.50	Facility		$256.50	$256.50	$432.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $256.50 / $543.75	Professional		$218.03	$256.50	$543.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.73 / $373.73 / $448.48	Professional		$373.73	$373.73	$448.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $371.43 / $801.00	Professional		$36.50	$371.43	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $351.16 / $1,497.41 / $1,552.02	Facility		$351.16	$1,497.41	$1,552.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $241.09 / $424.76	Facility		$53.68	$241.09	$424.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.03 / $256.50 / $386.04	Professional		$218.03	$256.50	$386.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.73 / $373.73 / $373.73	Professional		$373.73	$373.73	$373.73
United Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $212.39 / $369.10	Professional		$183.19	$212.39	$369.10