Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $134.90	Professional		$63.10	$93.33	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $812.83	Professional		$371.54	$562.34	$812.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $691.83	Professional		$154.88	$154.88	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $186.21	Professional		$83.18	$83.18	$186.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $194.98	Professional		$97.72	$114.82	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $162.18	Facility		$97.72	$114.82	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Professional		$83.18	$83.18	$97.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $154.88	Professional		$131.83	$131.83	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $50.12 / $100.00	Facility		$6.03	$50.12	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $165.96	Professional		$60.26	$87.10	$165.96