Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $92.62 / $330.54	Facility		$45.18	$92.62	$330.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.66 / $56.03	Professional		$42.13	$49.66	$56.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $211.52 / $876.00	Facility		$11.43	$211.52	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $16.85 / $30.92	Professional		$10.19	$16.85	$30.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $20.07 / $82.57	Facility		$8.08	$20.07	$82.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.50 / $6.25	Professional		$1.75	$2.50	$6.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $48.74 / $104.59	Facility		$28.65	$48.74	$104.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $42.13 / $60.50	Professional		$23.81	$42.13	$60.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $99.00	Professional		$42.13	$42.13	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $42.13 / $82.15	Professional		$33.70	$42.13	$82.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $200.12 / $200.12	Facility		$67.41	$200.12	$200.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $42.13 / $75.83	Facility		$39.15	$42.13	$75.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $42.13 / $52.97	Professional		$25.32	$42.13	$52.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $42.13 / $58.98	Professional		$33.70	$42.13	$58.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $18.72 / $61.58	Professional		$17.60	$18.72	$61.58