Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $131.02 / $425.54	Facility		$48.31	$131.02	$425.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $48.31 / $54.75	Professional		$35.10	$48.31	$54.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $322.69 / $876.00	Facility		$203.00	$322.69	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $13.13 / $38.64	Professional		$11.94	$13.13	$38.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $584.84	Facility		$59.30	$100.00	$584.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $41.87 / $100.00	Professional		$29.31	$41.87	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $84.58 / $210.82	Facility		$43.14	$84.58	$210.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $92.41 / $98.09	Professional		$73.93	$92.41	$98.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $70.84 / $103.06	Professional		$64.41	$70.84	$103.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $64.41 / $112.72	Professional		$51.53	$64.41	$112.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.07 / $305.95 / $305.95	Facility		$112.07	$305.95	$305.95
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 $33.49 / $64.41 / $153.71	Facility		$33.49	$64.41	$153.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $64.41 / $64.41	Professional		$52.82	$64.41	$64.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $108.63	Professional		$27.05	$27.05	$108.63