Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $331.13	Facility		$42.66	$107.15	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $213.80 / $213.80	Facility		$107.15	$213.80	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.98 / $33.11	Professional		$7.94	$16.98	$33.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $19.95 / $74.13	Facility		$6.76	$19.95	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.02 / $7.76	Professional		$2.24	$3.02	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $141.25	Facility		$28.84	$54.95	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $67.61	Professional		$42.66	$42.66	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $74.13	Professional		$33.88	$42.66	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
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 $38.90 / $42.66 / $95.50	Facility		$38.90	$42.66	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $46.77	Professional		$30.20	$42.66	$46.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $72.44	Professional		$33.88	$42.66	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $42.66	Facility		$17.78	$23.44	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $89.13	Professional		$17.78	$21.88	$89.13