Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $38.90 / $66.07	Facility		$12.88	$38.90	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $54.95 / $77.62	Professional		$7.08	$54.95	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $426.58	Facility		$208.93	$416.87	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $85.11	Professional		$45.71	$51.29	$85.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $194.98	Professional		$48.98	$66.07	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $281.84	Facility		$54.95	$141.25	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $128.82	Professional		$95.50	$102.33	$128.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $134.90	Professional		$83.18	$91.20	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $147.91	Professional		$67.61	$83.18	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $213.80	Facility		$43.65	$87.10	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $91.20	Professional		$64.57	$83.18	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $83.18	Facility		$35.48	$45.71	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $147.91	Professional		$35.48	$38.02	$147.91