Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $107.22 / $348.25	Facility		$39.53	$107.22	$348.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.53 / $44.80	Professional		$28.73	$39.53	$44.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $267.77 / $876.00	Facility		$203.00	$267.77	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $5.51 / $38.68	Professional		$4.97	$5.51	$38.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $100.00 / $478.61	Facility		$58.90	$100.00	$478.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $34.26 / $84.96	Professional		$23.98	$34.26	$84.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $69.20 / $172.50	Facility		$35.29	$69.20	$172.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $64.43 / $80.54	Professional		$60.71	$64.43	$80.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $57.98 / $99.00	Professional		$52.71	$57.98	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $52.71 / $92.24	Professional		$42.17	$52.71	$92.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $250.37 / $250.37	Facility		$91.72	$250.37	$250.37
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 $27.41 / $52.71 / $125.91	Facility		$27.41	$52.71	$125.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $50.07 / $52.71	Professional		$40.59	$50.07	$52.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $77.30	Professional		$22.14	$22.14	$77.30