Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $645.65 / $1,071.52	Facility		$218.78	$645.65	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $181.97	Professional		$100.00	$128.82	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $794.33	Facility		$398.11	$794.33	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $169.82 / $275.42	Professional		$6.03	$169.82	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $257.04	Professional		$91.20	$117.49	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $524.81	Facility		$104.71	$204.17	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $234.42	Professional		$158.49	$173.78	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $275.42	Professional		$141.25	$173.78	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,174.90	Professional		$776.25	$1,174.90	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $407.38	Facility		$120.23	$186.21	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $173.78	Professional		$158.49	$173.78	$173.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $2,344.23	Professional		$125.89	$173.78	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $158.49	Facility		$66.07	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $302.00	Professional		$66.07	$66.07	$302.00