Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $71.38 / $334.78	Facility		$43.97	$71.38	$334.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $49.66 / $56.03	Professional		$42.28	$49.66	$56.03
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 $7.31 / $14.37 / $29.17	Professional		$7.31	$14.37	$29.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $18.98 / $40.98	Facility		$7.13	$18.98	$40.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.50 / $6.25	Professional		$1.75	$2.50	$6.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $48.91 / $104.97	Facility		$28.75	$48.91	$104.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $99.00	Professional		$42.28	$42.28	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $42.28 / $73.98	Professional		$33.82	$42.28	$73.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $200.83 / $200.83	Facility		$67.65	$200.83	$200.83
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 $38.04 / $42.28 / $75.26	Facility		$38.04	$42.28	$75.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $42.28 / $46.51	Professional		$32.56	$42.28	$46.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $42.28 / $59.19	Professional		$33.82	$42.28	$59.19
United Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $18.72 / $61.58	Professional		$17.60	$18.72	$61.58