Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $325.38 / $1,056.77	Facility		$119.96	$325.38	$1,056.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $119.96 / $135.96	Professional		$87.17	$119.96	$135.96
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 $9.64 / $10.70 / $117.40	Professional		$9.64	$10.70	$117.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $262.64 / $439.86	Facility		$97.00	$262.64	$439.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $103.97 / $148.69	Professional		$72.78	$103.97	$148.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.11 / $185.07 / $404.44	Facility		$107.11	$185.07	$404.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $194.94 / $243.68	Professional		$183.79	$194.94	$243.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $159.94 / $255.92	Professional		$99.00	$159.94	$255.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $159.94 / $279.91	Professional		$127.96	$159.94	$279.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $278.31 / $759.76 / $759.76	Facility		$278.31	$759.76	$759.76
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 $83.17 / $143.96 / $287.91	Facility		$83.17	$143.96	$287.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $151.94 / $159.94	Professional		$123.16	$151.94	$159.94
United Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $87.97 / $95.97	Facility		$71.98	$87.97	$95.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $67.18 / $254.32	Professional		$67.18	$67.18	$254.32