Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $537.03 / $891.25	Facility		$239.88	$537.03	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $416.87	Professional		$263.03	$295.12	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $194.98 / $354.81	Professional		$60.26	$194.98	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $660.69 / $870.96	Facility		$100.00	$660.69	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $75.86	Professional		$39.81	$39.81	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $831.76	Professional		$128.82	$263.03	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $549.54	Facility		$263.03	$309.03	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $407.38	Professional		$239.88	$288.40	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $660.69	Facility		$407.38	$426.58	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Professional		$199.53	$199.53	$239.88