Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $126.41 / $410.58	Facility		$46.61	$126.41	$410.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $46.61 / $52.82	Professional		$33.86	$46.61	$52.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $312.00 / $876.00	Facility		$203.00	$312.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $33.83 / $49.47	Professional		$31.92	$33.83	$49.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $564.23	Facility		$59.30	$100.00	$564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $40.39 / $100.00	Professional		$28.27	$40.39	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $81.59 / $203.36	Facility		$41.62	$81.59	$203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $75.58 / $94.48	Professional		$48.99	$75.58	$94.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $99.42	Professional		$62.14	$62.14	$99.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $62.14 / $108.75	Professional		$49.71	$62.14	$108.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.12 / $295.17 / $295.17	Facility		$108.12	$295.17	$295.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $31.07	Professional		$20.00	$20.00	$31.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $62.14 / $148.31	Facility		$32.31	$62.14	$148.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $59.03 / $70.50	Professional		$47.85	$59.03	$70.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $62.14 / $87.00	Professional		$49.71	$62.14	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $91.13	Professional		$26.10	$26.10	$91.13