Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $383.42 / $546.98	Professional		$342.68	$383.42	$546.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $35.50 / $35.50	Facility		$32.04	$35.50	$35.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $357.50 / $849.15	Professional		$332.22	$357.50	$849.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Facility		$130.10	$130.10	$130.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.33 / $636.91 / $636.91	Professional		$436.33	$636.91	$636.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $611.16	Facility		$330.77	$330.77	$611.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $330.77 / $632.80	Professional		$281.14	$330.77	$632.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $943.80 / $943.80 / $1,132.56	Professional		$943.80	$943.80	$1,132.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $801.00	Professional		$630.00	$630.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $565.59 / $1,955.62 / $2,028.80	Facility		$565.59	$1,955.62	$2,028.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $342.68 / $587.15	Facility		$40.86	$342.68	$587.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $330.77 / $407.40	Professional		$281.14	$330.77	$407.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $943.80 / $943.80 / $943.80	Professional		$943.80	$943.80	$943.80
United Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $291.52 / $589.46	Professional		$249.88	$291.52	$589.46