Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $331.13	Facility		$41.69	$112.20	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $275.42	Professional		$41.69	$42.66	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.59 / $213.80	Facility		$11.48	$12.59	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.98 / $33.88	Professional		$10.23	$16.98	$33.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $21.38 / $95.50	Facility		$6.92	$21.38	$95.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.02 / $7.76	Professional		$2.24	$3.02	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $154.88	Facility		$28.84	$54.95	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $60.26	Professional		$23.44	$41.69	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $67.61	Professional		$41.69	$41.69	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $93.33	Professional		$33.88	$41.69	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $41.69 / $104.71	Facility		$38.90	$41.69	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $95.50	Professional		$23.99	$38.02	$95.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $72.44	Professional		$33.88	$42.66	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $41.69	Facility		$17.78	$22.91	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $89.13	Professional		$17.78	$21.88	$89.13