Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $263.03 / $446.68	Facility		$89.13	$263.03	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $64.57	Professional		$41.69	$52.48	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $323.59	Facility		$162.18	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $38.90	Professional		$12.02	$13.49	$38.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $151.36 / $616.60	Facility		$60.26	$151.36	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $117.49	Professional		$38.02	$48.98	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $213.80	Facility		$42.66	$85.11	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Professional		$74.13	$77.62	$97.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $102.33	Professional		$64.57	$70.79	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $112.20	Professional		$51.29	$64.57	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
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 $33.11 / $72.44 / $165.96	Facility		$33.11	$72.44	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.48 / $64.57	Facility		$26.92	$35.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $173.78	Professional		$26.92	$29.51	$173.78