Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $261.77 / $847.50	Facility		$30.98	$261.77	$847.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $21.65 / $25.00	Professional		$18.53	$21.65	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $486.00 / $876.00	Facility		$15.62	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $25.40 / $101.51	Professional		$14.83	$25.40	$101.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $91.36 / $215.25	Facility		$43.87	$91.36	$215.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.79 / $38.94	Professional		$18.55	$24.79	$38.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $3.70 / $103.63	Facility		$0.94	$3.70	$103.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $29.74 / $37.18	Professional		$13.60	$29.74	$37.18
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 $29.00 / $79.00 / $393.93	Professional		$29.00	$79.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $139.41 / $150.53	Facility		$139.41	$139.41	$150.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $91.57	Professional		$20.00	$20.00	$91.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $18.54 / $67.09	Facility		$1.33	$18.54	$67.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $22.00 / $118.48	Professional		$13.10	$22.00	$118.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $15.31 / $50.52	Professional		$9.86	$15.31	$50.52