Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $182.71 / $325.92	Professional		$128.05	$182.71	$325.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.95 / $23.21 / $23.21	Facility		$20.95	$23.21	$23.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $295.20 / $418.20	Professional		$232.09	$295.20	$418.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $494.93 / $494.93 / $494.93	Facility		$494.93	$494.93	$494.93
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 $240.34 / $240.34 / $286.26	Facility		$240.34	$240.34	$286.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $240.34 / $483.75	Professional		$204.29	$240.34	$483.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $347.14 / $347.14 / $416.57	Professional		$347.14	$347.14	$416.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.24 / $318.00 / $801.00	Professional		$289.24	$318.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $348.45 / $2,207.17 / $2,287.65	Facility		$348.45	$2,207.17	$2,287.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $261.30 / $426.44	Facility		$132.78	$261.30	$426.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $240.34 / $240.95	Professional		$204.29	$240.34	$240.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $347.14 / $347.14 / $347.14	Professional		$347.14	$347.14	$347.14
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $208.08 / $282.80	Professional		$154.91	$208.08	$282.80