Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $349.76 / $978.80	Facility		$124.77	$349.76	$978.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $127.78 / $173.88	Professional		$81.93	$127.78	$173.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.12 / $312.00 / $753.15	Facility		$161.12	$312.00	$753.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $67.34 / $225.49	Professional		$60.13	$67.34	$225.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $198.44 / $1,348.46	Facility		$59.40	$198.44	$1,348.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $97.71 / $244.32	Professional		$68.40	$97.71	$244.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $252.09 / $503.21	Facility		$99.18	$252.09	$503.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $126.02 / $471.63	Professional		$79.59	$126.02	$471.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $150.33 / $202.95	Professional		$120.26	$150.33	$202.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $172.88 / $340.68	Professional		$135.30	$172.88	$340.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.57 / $883.04 / $883.04	Facility		$261.57	$883.04	$883.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.64 / $748.64 / $1,127.48	Professional		$748.64	$748.64	$1,127.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $105.23 / $105.23	Professional		$105.23	$105.23	$105.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $180.40 / $398.85	Facility		$120.26	$180.40	$398.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $172.88 / $411.69	Professional		$83.45	$172.88	$411.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $135.30 / $204.44	Professional		$120.26	$135.30	$204.44
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $67.91 / $333.34	Professional		$63.14	$67.91	$333.34