Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $147.91	Professional		$15.85	$22.91	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $74.13	Professional		$14.13	$19.50	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $72.44	Professional		$22.91	$30.90	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $44.67	Professional		$12.02	$15.49	$44.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $43.65	Professional		$20.89	$28.18	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $43.65	Professional		$18.62	$27.54	$43.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $218.78	Professional		$165.96	$218.78	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $44.67	Facility		$17.38	$24.55	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.44 / $51.29	Professional		$12.59	$23.44	$51.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $35.48	Professional		$16.98	$25.70	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $57.54	Professional		$14.13	$17.38	$57.54