Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $213.80 / $363.08	Facility		$74.13	$213.80	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $52.48	Professional		$34.67	$42.66	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $269.15	Facility		$131.83	$263.03	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $81.28	Professional		$5.01	$6.17	$81.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $123.03 / $512.86	Facility		$58.88	$123.03	$512.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $100.00	Professional		$30.90	$39.81	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $69.18 / $177.83	Facility		$34.67	$69.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $81.28	Professional		$38.02	$64.57	$81.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $100.00	Professional		$52.48	$57.54	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $91.20	Professional		$42.66	$52.48	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
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 $27.54 / $58.88 / $134.90	Facility		$27.54	$58.88	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $52.48	Professional		$38.02	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $52.48	Facility		$22.39	$28.84	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $93.33	Professional		$22.39	$23.99	$93.33