Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.03 / $312.39 / $514.33	Professional		$226.03	$312.39	$514.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $41.28 / $41.28	Facility		$37.26	$41.28	$41.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.89 / $412.80 / $678.50	Professional		$199.89	$412.80	$678.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $87.47 / $87.47	Facility		$87.47	$87.47	$87.47
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 $450.88 / $450.88 / $494.65	Facility		$450.88	$450.88	$494.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $450.88 / $798.75	Professional		$383.25	$450.88	$798.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $447.62 / $447.62 / $537.14	Professional		$447.62	$447.62	$537.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $605.00 / $801.00	Professional		$366.00	$605.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,109.30 / $3,564.78 / $3,694.74	Facility		$1,109.30	$3,564.78	$3,694.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $348.06 / $854.45	Facility		$47.43	$348.06	$854.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $450.88 / $450.88	Professional		$383.25	$450.88	$450.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $447.62 / $447.62 / $447.62	Professional		$447.62	$447.62	$447.62
United Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $211.91 / $469.44	Facility		$28.26	$211.91	$469.44
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $327.66 / $562.62	Professional		$252.96	$327.66	$562.62