Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $83.01 / $120.77	Professional		$72.43	$83.01	$120.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $9.50 / $9.50	Facility		$8.57	$9.50	$9.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $126.40 / $253.31	Professional		$95.00	$126.40	$253.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $29.31 / $29.31	Facility		$29.31	$29.31	$29.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $143.43 / $143.43	Professional		$143.43	$143.43	$143.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $88.70	Facility		$88.70	$88.70	$88.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $196.88	Professional		$75.40	$75.40	$196.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $246.60 / $295.92	Professional		$246.60	$246.60	$295.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $171.27 / $801.00	Professional		$171.27	$171.27	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $196.86 / $206.60	Facility		$100.00	$196.86	$206.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $80.59 / $106.42	Facility		$24.75	$80.59	$106.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $80.59 / $96.35	Professional		$75.40	$80.59	$96.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $246.60 / $246.60	Professional		$246.60	$246.60	$246.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $9.61 / $98.30	Professional		$7.12	$9.61	$98.30