Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $66.56 / $291.95	Facility		$42.13	$66.56	$291.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.14	Professional		$42.13	$42.13	$42.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $260.00 / $876.00	Facility		$203.00	$260.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $46.13 / $68.73	Professional		$20.57	$46.13	$68.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $15.20 / $34.40	Facility		$5.70	$15.20	$34.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.00 / $5.00	Professional		$1.40	$2.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $59.51 / $127.70	Facility		$33.43	$59.51	$127.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.66 / $73.88	Professional		$42.13	$52.66	$73.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $51.43 / $82.29	Professional		$33.70	$51.43	$82.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $51.43 / $90.00	Professional		$41.14	$51.43	$90.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $244.29 / $244.29	Facility		$82.29	$244.29	$244.29
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 $35.32 / $59.51 / $130.04	Facility		$35.32	$59.51	$130.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $42.13 / $51.43	Professional		$34.54	$42.13	$51.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $41.14 / $51.43	Professional		$34.36	$41.14	$51.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $19.21 / $88.23	Professional		$17.73	$19.21	$88.23