Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $245.47 / $645.65	Facility		$48.98	$245.47	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $114.82	Professional		$12.88	$19.05	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $39.81 / $87.10	Facility		$7.94	$39.81	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $26.92	Professional		$6.92	$9.33	$26.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $165.96	Facility		$33.11	$74.13	$165.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $42.66	Professional		$10.00	$13.49	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.84 / $63.10	Facility		$11.48	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $26.30	Professional		$9.12	$15.14	$26.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $27.54	Professional		$13.80	$17.38	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $39.81	Professional		$13.80	$17.38	$39.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $43.65	Facility		$12.02	$30.20	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $34.67	Professional		$9.12	$13.18	$34.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.49 / $23.44	Professional		$13.80	$15.49	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.47 / $17.38	Facility		$7.76	$10.47	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.94 / $30.90	Professional		$7.24	$7.94	$30.90