Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $295.12	Professional		$109.65	$194.98	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $288.40 / $707.95	Professional		$125.89	$288.40	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $64.57	Facility		$39.81	$39.81	$64.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Facility		$239.88	$239.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $389.05	Professional		$204.17	$204.17	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Professional		$234.42	$234.42	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,819.70 / $1,819.70	Facility		$288.40	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $190.55 / $436.52	Facility		$33.88	$190.55	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $239.88	Professional		$107.15	$204.17	$239.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $97.72 / $204.17	Facility		$10.72	$97.72	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $281.84	Professional		$109.65	$165.96	$281.84