Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $128.82 / $218.78	Facility		$43.65	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $30.90	Professional		$20.89	$25.12	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $162.18	Facility		$79.43	$158.49	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $47.86	Professional		$4.37	$5.50	$47.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $89.13	Facility		$39.81	$67.61	$89.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $61.66	Professional		$18.62	$23.99	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $40.74 / $102.33	Facility		$21.38	$40.74	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $47.86	Professional		$36.31	$38.02	$47.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $100.00	Professional		$31.62	$34.67	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $54.95	Professional		$25.12	$31.62	$54.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
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 $16.60 / $31.62 / $77.62	Facility		$16.60	$31.62	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $34.67	Professional		$24.55	$31.62	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.38 / $31.62	Facility		$13.18	$17.38	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.45 / $56.23	Professional		$13.18	$14.45	$56.23