Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $236.74 / $359.38	Professional		$165.97	$236.74	$359.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $30.08 / $666.60	Facility		$27.15	$30.08	$666.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $382.45 / $513.07	Professional		$300.82	$382.45	$513.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $641.49 / $641.49 / $641.49	Facility		$641.49	$641.49	$641.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $430.44	Professional		$100.00	$100.00	$430.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $430.44	Facility		$332.93	$332.93	$430.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.99 / $324.00 / $525.00	Professional		$282.99	$324.00	$525.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $358.60 / $430.32	Professional		$358.60	$358.60	$430.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.90 / $406.00 / $801.00	Professional		$374.90	$406.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $451.64 / $1,865.59 / $1,933.58	Facility		$451.64	$1,865.59	$1,933.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $261.86 / $484.43	Facility		$54.20	$261.86	$484.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $332.93 / $332.93	Professional		$245.13	$332.93	$332.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $358.60 / $358.60	Professional		$358.60	$358.60	$358.60
United Facility/Professional Professional Modifier Low / Median / High Price $209.12 / $246.49 / $459.86	Professional		$209.12	$246.49	$459.86