Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $323.59	Facility		$66.07	$190.55	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $52.48	Professional		$30.20	$38.02	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $239.88	Facility		$117.49	$234.42	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $57.54 / $91.20	Professional		$26.30	$57.54	$91.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $457.09	Facility		$58.88	$109.65	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $95.50	Professional		$27.54	$36.31	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $79.43 / $165.96	Facility		$30.90	$79.43	$165.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $63.10	Professional		$46.77	$51.29	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $83.18	Professional		$42.66	$51.29	$83.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $354.81	Professional		$234.42	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $56.23 / $123.03	Facility		$36.31	$56.23	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $67.61	Professional		$46.77	$51.29	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $46.77 / $46.77	Facility		$19.95	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $91.20	Professional		$19.95	$19.95	$91.20