Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $295.12	Facility		$41.69	$107.15	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $213.80	Facility		$128.82	$213.80	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $47.86 / $75.86	Professional		$20.42	$47.86	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $15.85 / $91.20	Facility		$5.37	$15.85	$91.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.40 / $6.31	Professional		$1.82	$2.40	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $67.61 / $173.78	Facility		$33.11	$67.61	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $74.13	Professional		$37.15	$41.69	$74.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $83.18	Professional		$33.88	$51.29	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $89.13	Professional		$40.74	$51.29	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
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 $42.66 / $47.86 / $117.49	Facility		$42.66	$47.86	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $51.29	Professional		$28.84	$41.69	$51.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $57.54	Professional		$33.88	$43.65	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $51.29	Facility		$21.38	$28.18	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $91.20	Professional		$17.78	$22.91	$91.20