Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $2,754.23	Facility		$37.15	$42.66	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $45.71	Professional		$26.92	$34.67	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.12 / $1.23	Facility		$1.05	$1.12	$1.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $38.90 / $70.79	Professional		$1.15	$38.90	$70.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $331.13 / $501.19	Facility		$97.72	$331.13	$501.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $177.83	Professional		$70.79	$102.33	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Professional		$257.04	$257.04	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $831.76	Professional		$128.82	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $363.08	Professional		$346.74	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $54.95 / $87.10	Facility		$33.11	$54.95	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $436.52	Professional		$257.04	$309.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $467.74	Facility		$295.12	$302.00	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $91.20	Professional		$34.67	$46.77	$91.20