Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $204.17	Facility		$50.12	$120.23	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $42.66	Professional		$22.91	$28.84	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.42 / $758.58	Facility		$18.20	$20.42	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $47.86	Professional		$17.38	$26.30	$47.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $223.87	Facility		$34.67	$87.10	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $37.15	Professional		$14.79	$20.89	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $3.98 / $125.89	Facility		$1.02	$3.98	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $60.26	Professional		$14.45	$22.39	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.95	Professional		$16.60	$16.60	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $208.93	Professional		$33.11	$72.44	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $34.67 / $60.26	Facility		$15.14	$34.67	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $64.57	Professional		$14.45	$21.88	$64.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $40.74	Professional		$16.60	$25.12	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $426.58	Facility		$269.15	$281.84	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $44.67	Professional		$10.96	$17.78	$44.67