Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $134.90 / $251.19	Facility		$45.71	$134.90	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $223.87	Professional		$25.12	$32.36	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $89.13 / $194.98	Facility		$17.78	$89.13	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $60.26	Professional		$15.49	$20.89	$60.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $371.54	Facility		$53.70	$100.00	$371.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $95.50	Professional		$17.38	$29.51	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $138.04	Facility		$25.70	$63.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $58.88	Professional		$20.42	$33.88	$58.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $61.66	Professional		$30.90	$38.90	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $85.11	Professional		$30.90	$38.90	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $41.69 / $97.72	Facility		$13.49	$41.69	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $77.62	Professional		$20.42	$29.51	$77.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $52.48	Professional		$30.90	$34.67	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $21.38 / $38.90	Facility		$10.23	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $69.18	Professional		$16.22	$16.22	$69.18