Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.77 / $351.98 / $1,143.14	Facility		$129.77	$351.98	$1,143.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $129.77 / $147.08	Professional		$94.30	$129.77	$147.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $876.00	Facility		$244.00	$614.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $310.08 / $462.08	Professional		$127.00	$310.08	$462.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $284.12 / $475.83	Facility		$97.00	$284.12	$475.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $112.47 / $160.84	Professional		$78.73	$112.47	$160.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.87 / $200.20 / $437.51	Facility		$115.87	$200.20	$437.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $211.04 / $263.80	Professional		$136.50	$211.04	$263.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $173.03 / $276.85	Professional		$99.00	$173.03	$276.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $173.03 / $302.80	Professional		$138.41	$173.03	$302.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $301.07 / $821.89 / $821.89	Facility		$301.07	$821.89	$821.89
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 $89.98 / $155.72 / $311.45	Facility		$89.98	$155.72	$311.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $164.38 / $196.45	Professional		$133.22	$164.38	$196.45
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $253.75	Professional		$72.67	$72.67	$253.75