Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $102.86 / $333.87	Facility		$46.31	$102.86	$333.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.65 / $77.14	Professional		$42.13	$49.65	$77.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $211.52 / $876.00	Facility		$7.79	$211.52	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $12.16 / $38.45	Professional		$6.00	$12.16	$38.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $14.88 / $27.90	Facility		$5.62	$14.88	$27.90
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 $29.00 / $41.79 / $122.82	Facility		$29.00	$41.79	$122.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $52.66 / $73.88	Professional		$42.13	$52.66	$73.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $99.00	Professional		$51.43	$51.43	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $51.43 / $100.29	Professional		$41.14	$51.43	$100.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $244.29 / $244.29	Facility		$89.49	$244.29	$244.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $45.18 / $78.44	Facility		$41.14	$45.18	$78.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $48.86 / $102.86	Professional		$39.60	$48.86	$102.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $51.43 / $72.00	Professional		$41.14	$51.43	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $18.72 / $97.50	Professional		$17.73	$18.72	$97.50