Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $81.69 / $2,264.00	Facility		$73.58	$81.69	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $71.20 / $85.03	Professional		$49.21	$71.20	$85.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $293.00 / $876.00	Facility		$23.42	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $87.39 / $149.03	Professional		$54.00	$87.39	$149.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $123.06 / $669.45	Facility		$59.40	$123.06	$669.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $91.62 / $212.46	Professional		$72.22	$91.62	$212.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.66 / $1,563.28 / $3,477.93	Facility		$101.66	$1,563.28	$3,477.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $90.73 / $206.74	Professional		$62.92	$90.73	$206.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $103.83 / $124.60	Professional		$103.83	$103.83	$124.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $97.01 / $201.24	Professional		$79.34	$97.01	$201.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $1,653.45 / $1,653.45	Facility		$166.32	$1,653.45	$1,653.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $982.00 / $982.00	Professional		$982.00	$982.00	$982.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $113.48 / $2,561.08	Facility		$42.69	$113.48	$2,561.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $90.78 / $210.67	Professional		$62.22	$90.78	$210.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $105.08 / $253.18	Professional		$85.98	$105.08	$253.18
United Facility/Professional Facility Modifier Low / Median / High Price $514.13 / $514.13 / $514.13	Facility		$514.13	$514.13	$514.13
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $104.22 / $261.74	Professional		$78.52	$104.22	$261.74