Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.73 / $365.15 / $482.83	Professional		$313.73	$365.15	$482.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $48.39 / $48.39	Facility		$43.67	$48.39	$48.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.45 / $490.98 / $895.52	Professional		$381.45	$490.98	$895.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $120.18 / $120.18 / $120.18	Facility		$120.18	$120.18	$120.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $588.33 / $588.33 / $588.33	Professional		$588.33	$588.33	$588.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $558.39	Facility		$329.00	$329.00	$558.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $279.64 / $660.94	Professional		$279.64	$279.64	$660.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $871.92 / $871.92 / $1,046.30	Professional		$871.92	$871.92	$1,046.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $633.00 / $801.00	Professional		$633.00	$633.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $516.46 / $1,989.48 / $2,062.02	Facility		$516.46	$1,989.48	$2,062.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $329.00 / $564.34	Facility		$52.72	$329.00	$564.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $279.64 / $329.00	Professional		$44.81	$279.64	$329.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $871.92 / $871.92 / $871.92	Professional		$871.92	$871.92	$871.92
United Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $248.66 / $421.03	Professional		$208.96	$248.66	$421.03