Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $55.16 / $157.94	Facility		$20.32	$55.16	$157.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $20.32 / $23.04	Professional		$13.48	$20.32	$23.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $65.39 / $293.00	Facility		$29.70	$65.39	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $11.38 / $28.19	Professional		$10.84	$11.38	$28.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $87.57 / $246.97	Facility		$48.20	$87.57	$246.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.62 / $44.06	Professional		$12.33	$17.62	$44.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $35.24 / $87.40	Facility		$17.62	$35.24	$87.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $31.39 / $41.30	Professional		$14.49	$31.39	$41.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $43.38	Professional		$21.69	$27.11	$43.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.11 / $59.10	Professional		$21.69	$27.11	$59.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $128.77 / $128.77	Facility		$43.38	$128.77	$128.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $27.11 / $64.88	Facility		$13.58	$27.11	$64.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $24.94 / $32.53	Professional		$15.18	$24.94	$32.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $24.29 / $30.37	Professional		$21.69	$24.29	$30.37
United Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $27.11 / $27.11	Facility		$11.39	$27.11	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $39.76	Professional		$11.39	$11.39	$39.76