Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $271.80 / $394.89	Professional		$190.55	$271.80	$394.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $34.54 / $756.73	Facility		$31.17	$34.54	$756.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.37 / $439.08 / $558.97	Professional		$345.37	$439.08	$558.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $736.49 / $736.49 / $736.49	Facility		$736.49	$736.49	$736.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $494.19	Professional		$100.00	$100.00	$494.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $494.19	Facility		$327.62	$327.62	$494.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $327.62 / $551.25	Professional		$278.48	$327.62	$551.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $379.50 / $455.40	Professional		$379.50	$379.50	$455.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.42 / $465.00 / $801.00	Professional		$430.42	$465.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $518.52 / $1,856.74 / $1,924.42	Facility		$518.52	$1,856.74	$1,924.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $285.52 / $486.17	Facility		$62.20	$285.52	$486.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $327.62 / $337.45	Professional		$202.04	$327.62	$337.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $379.50 / $379.50	Professional		$379.50	$379.50	$379.50
United Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $241.49 / $457.68	Professional		$220.72	$241.49	$457.68