Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $1,023.29	Facility		$229.09	$416.87	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $549.54	Professional		$194.98	$199.53	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $234.42 / $512.86	Facility		$204.17	$234.42	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $398.11	Professional		$190.55	$194.98	$398.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $398.11	Facility		$83.18	$100.00	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $389.05	Professional		$199.53	$229.09	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $257.04	Professional		$190.55	$190.55	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $354.81	Professional		$177.83	$208.93	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $354.81	Facility		$194.98	$213.80	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $331.13	Professional		$158.49	$213.80	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42