Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $446.68	Professional		$60.26	$60.26	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.60 / $1,071.52	Facility		$100.00	$616.60	$1,071.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $75.86	Professional		$39.81	$39.81	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $416.87	Professional		$346.74	$346.74	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $380.19 / $831.76	Professional		$128.82	$380.19	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $281.84 / $891.25	Facility		$251.19	$281.84	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $588.84	Professional		$346.74	$416.87	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $776.25	Facility		$489.78	$501.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $263.03	Professional		$199.53	$199.53	$263.03