Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $59.50 / $165.95	Facility		$20.04	$59.50	$165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $34.74	Professional		$20.04	$20.04	$34.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $260.00 / $876.00	Facility		$203.00	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.79 / $8.61	Professional		$4.59	$5.79	$8.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $28.23 / $85.04	Professional		$19.76	$28.23	$85.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $72.83 / $145.38	Facility		$28.65	$72.83	$145.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $43.43 / $58.63	Professional		$34.74	$43.43	$58.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $49.94 / $94.68	Professional		$39.09	$49.94	$94.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $206.29 / $206.29	Facility		$75.56	$206.29	$206.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $216.28 / $325.73	Professional		$216.28	$216.28	$325.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $65.66 / $131.55	Facility		$29.08	$65.66	$131.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $47.77 / $65.15	Professional		$43.43	$47.77	$65.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $39.09 / $59.06	Professional		$34.74	$39.09	$59.06
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $86.29	Professional		$18.23	$18.23	$86.29