Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $177.83	Facility		$38.90	$95.50	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $32.36	Professional		$18.20	$21.88	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $758.58	Facility		$14.13	$15.49	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $107.15	Professional		$13.49	$21.88	$107.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $95.50 / $295.12	Facility		$43.65	$95.50	$295.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $43.65	Professional		$19.05	$25.70	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $3.02 / $95.50	Facility		$0.78	$3.02	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $33.88	Professional		$10.96	$19.95	$33.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $75.86 / $398.11	Professional		$26.92	$75.86	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $15.14 / $64.57	Facility		$1.17	$15.14	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $61.66	Professional		$11.22	$17.38	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.18 / $331.13	Facility		$10.96	$13.18	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $69.18	Professional		$8.91	$13.80	$69.18