Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $660.69 / $1,096.48	Facility		$223.87	$660.69	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $158.49	Professional		$107.15	$131.83	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $812.83	Facility		$407.38	$794.33	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $245.47	Professional		$9.55	$12.02	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $346.74 / $446.68	Facility		$97.72	$346.74	$446.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $295.12	Professional		$93.33	$120.23	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $512.86	Facility		$107.15	$208.93	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $245.47	Professional		$114.82	$194.98	$245.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $257.04	Professional		$100.00	$158.49	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $281.84	Professional		$128.82	$158.49	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
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 $83.18 / $158.49 / $398.11	Facility		$83.18	$158.49	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $158.49	Professional		$114.82	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $158.49	Facility		$67.61	$87.10	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $288.40	Professional		$67.61	$72.44	$288.40