Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $232.78 / $756.04	Facility		$85.82	$232.78	$756.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $85.82 / $97.27	Professional		$62.36	$85.82	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $569.86 / $876.00	Facility		$244.00	$569.86	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $35.43 / $83.99	Professional		$31.92	$35.43	$83.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $156.31 / $1,039.02	Facility		$59.90	$156.31	$1,039.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $74.38 / $106.37	Professional		$52.07	$74.38	$106.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $132.40 / $289.33	Facility		$75.50	$132.40	$289.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $139.59 / $174.49	Professional		$131.75	$139.59	$174.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $114.43 / $183.09	Professional		$99.00	$114.43	$183.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $114.43 / $200.25	Professional		$91.54	$114.43	$200.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $543.54 / $543.54	Facility		$199.11	$543.54	$543.54
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 $59.50 / $106.36 / $205.97	Facility		$59.50	$106.36	$205.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $108.71 / $114.43	Professional		$88.11	$108.71	$114.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $114.43 / $160.19	Professional		$91.54	$114.43	$160.19
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $181.94	Professional		$48.06	$48.06	$181.94