Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $130.58 / $424.11	Facility		$48.14	$130.58	$424.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $48.14 / $54.56	Professional		$34.97	$48.14	$54.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $321.58 / $876.00	Facility		$203.00	$321.58	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $7.67 / $45.29	Professional		$6.91	$7.67	$45.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $582.85	Facility		$59.30	$100.00	$582.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $41.72 / $100.00	Professional		$29.20	$41.72	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $86.15 / $210.06	Facility		$42.35	$86.15	$210.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $91.89 / $97.58	Professional		$73.51	$91.89	$97.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $70.61 / $102.70	Professional		$64.19	$70.61	$102.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $64.19 / $112.33	Professional		$51.35	$64.19	$112.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $304.89 / $304.89	Facility		$111.69	$304.89	$304.89
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 $33.36 / $64.19 / $150.59	Facility		$33.36	$64.19	$150.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $64.19 / $70.61	Professional		$52.64	$64.19	$70.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $26.96 / $102.06	Professional		$26.96	$26.96	$102.06