Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.01 / $262.44 / $681.12	Facility		$100.01	$262.44	$681.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $96.34 / $100.01	Professional		$82.08	$96.34	$100.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $570.00 / $3,287.31	Facility		$62.49	$570.00	$3,287.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $95.78 / $177.59	Professional		$59.33	$95.78	$177.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $100.00 / $1,215.22	Facility		$48.20	$100.00	$1,215.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.94 / $218.97	Professional		$100.00	$133.94	$218.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $14.73 / $414.56	Facility		$3.76	$14.73	$414.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $119.36 / $158.75	Professional		$51.51	$119.36	$158.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $527.00 / $1,701.00	Professional		$283.00	$527.00	$1,701.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $557.70 / $557.70 / $602.14	Facility		$557.70	$557.70	$602.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $24.14	Professional		$20.00	$20.00	$24.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $70.48 / $268.38	Facility		$5.31	$70.48	$268.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $88.99 / $473.95	Professional		$51.51	$88.99	$473.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,298.80 / $1,346.71 / $2,070.44	Facility		$1,298.80	$1,346.71	$2,070.44
United Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $61.24 / $336.63	Professional		$41.30	$61.24	$336.63