Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $70.79 / $199.53	Facility		$38.02	$70.79	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $154.88	Professional		$30.20	$50.12	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $177.83	Professional		$40.74	$67.61	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $316.23	Professional		$100.00	$199.53	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.55 / $57.54	Professional		$14.13	$24.55	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $398.11	Professional		$20.89	$29.51	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $478.63	Professional		$223.87	$478.63	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $2,818.38 / $5,128.61	Facility		$31.62	$2,818.38	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $79.43	Professional		$60.26	$70.79	$79.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $28.18	Professional		$18.20	$20.89	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $83.18	Professional		$38.02	$52.48	$83.18