Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $90.56 / $313.44	Facility		$45.23	$90.56	$313.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $50.65	Professional		$45.22	$45.23	$50.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $226.85 / $876.00	Facility		$47.64	$226.85	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $45.23 / $67.92	Professional		$18.11	$45.23	$67.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $100.00 / $127.69	Facility		$55.97	$100.00	$127.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.00 / $5.00	Professional		$1.40	$2.00	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $54.34 / $114.48	Facility		$42.08	$54.34	$114.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $45.23 / $65.05	Professional		$28.19	$45.23	$65.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.28 / $72.45	Professional		$45.23	$45.28	$72.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $45.28 / $98.00	Professional		$36.22	$45.28	$98.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $215.08 / $215.08	Facility		$72.45	$215.08	$215.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $80.59	Facility		$45.23	$45.23	$80.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $45.23 / $64.56	Professional		$31.93	$45.23	$64.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $45.28 / $63.32	Professional		$36.22	$45.28	$63.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.17 / $66.33	Professional		$27.14	$27.17	$66.33