Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $227.89 / $740.12	Facility		$84.02	$227.89	$740.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $84.02 / $95.22	Professional		$61.05	$84.02	$95.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $557.86 / $876.00	Facility		$244.00	$557.86	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $7.67 / $82.22	Professional		$6.91	$7.67	$82.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $100.00 / $315.89	Facility		$80.50	$100.00	$315.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $72.81 / $107.34	Professional		$50.97	$72.81	$107.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $147.08 / $366.60	Facility		$73.90	$147.08	$366.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $136.69 / $170.88	Professional		$128.44	$136.69	$170.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $112.02 / $179.23	Professional		$99.00	$112.02	$179.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $112.02 / $196.04	Professional		$89.62	$112.02	$196.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.91 / $532.10 / $532.10	Facility		$194.91	$532.10	$532.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $145.62 / $330.78	Facility		$77.59	$145.62	$330.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $106.42 / $112.02	Professional		$86.26	$106.42	$112.02
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $221.80	Professional		$47.05	$47.05	$221.80