Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $111.81 / $157.80	Professional		$72.16	$111.81	$157.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $13.54 / $299.73	Facility		$12.22	$13.54	$299.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $155.69 / $286.45	Professional		$131.88	$155.69	$286.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $297.93 / $297.93 / $297.93	Facility		$297.93	$297.93	$297.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.69 / $199.91	Professional		$100.00	$133.69	$199.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $199.91	Facility		$112.00	$112.73	$199.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $221.25	Professional		$95.82	$112.73	$221.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $146.10 / $175.32	Professional		$146.10	$146.10	$175.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $174.11 / $801.00	Professional		$171.10	$174.11	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.99 / $955.82 / $990.66	Facility		$182.99	$955.82	$990.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $112.73 / $229.10	Facility		$25.18	$112.73	$229.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $161.00	Professional		$95.82	$112.73	$161.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $146.10 / $146.10	Professional		$146.10	$146.10	$146.10
United Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $85.63 / $169.72	Professional		$79.77	$85.63	$169.72