Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $97.72 / $177.83	Facility		$38.02	$97.72	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $154.88	Professional		$18.20	$22.91	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $63.10 / $134.90	Facility		$12.59	$63.10	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $41.69	Professional		$10.96	$14.45	$41.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $263.03	Facility		$47.86	$85.11	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $67.61	Professional		$15.85	$21.88	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $43.65 / $97.72	Facility		$17.78	$43.65	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $41.69	Professional		$14.13	$23.99	$41.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $43.65	Professional		$21.88	$26.92	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $60.26	Professional		$21.88	$26.92	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.84 / $69.18	Facility		$13.49	$28.84	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $53.70	Professional		$14.45	$20.89	$53.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $37.15	Professional		$21.88	$24.55	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $26.92	Facility		$12.02	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $47.86	Professional		$11.48	$12.59	$47.86