Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $171.05 / $305.18	Professional		$119.90	$171.05	$305.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $21.73 / $21.73	Facility		$19.61	$21.73	$21.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $217.33 / $391.60	Professional		$142.91	$217.33	$391.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Facility		$39.65	$39.65	$39.65
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 $240.50 / $240.50 / $267.98	Facility		$240.50	$240.50	$267.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $226.80 / $386.25	Professional		$204.43	$226.80	$386.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $233.27 / $233.27 / $279.92	Professional		$233.27	$233.27	$279.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $801.00	Professional		$282.00	$282.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $290.98 / $1,757.61 / $1,821.67	Facility		$290.98	$1,757.61	$1,821.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $183.74 / $421.28	Facility		$33.50	$183.74	$421.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $240.50 / $240.50	Professional		$145.41	$240.50	$240.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $233.27 / $233.27 / $233.27	Professional		$233.27	$233.27	$233.27
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $164.78 / $239.87	Professional		$131.63	$164.78	$239.87