Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $93.01 / $217.64	Facility		$28.54	$93.01	$217.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $29.35 / $43.53	Professional		$23.04	$29.35	$43.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $486.00 / $876.00	Facility		$18.20	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $25.41 / $56.56	Professional		$17.28	$25.41	$56.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $80.54 / $144.52	Facility		$33.78	$80.54	$144.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $18.19 / $40.29	Professional		$13.19	$18.19	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $3.00 / $124.75	Facility		$1.02	$3.00	$124.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $23.17 / $87.45	Professional		$14.58	$23.17	$87.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $19.98	Professional		$16.64	$16.64	$19.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $73.00 / $393.93	Professional		$33.00	$73.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $163.26 / $175.88	Facility		$57.19	$163.26	$175.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $258.24 / $258.24	Professional		$258.24	$258.24	$258.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $52.08 / $85.00	Professional		$33.14	$52.08	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $36.40 / $56.71	Facility		$15.17	$36.40	$56.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $22.78 / $91.51	Professional		$14.58	$22.78	$91.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $23.88 / $40.60	Professional		$16.64	$23.88	$40.60
United Facility/Professional Facility Modifier Low / Median / High Price $272.45 / $282.50 / $434.33	Facility		$272.45	$282.50	$434.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $17.89 / $76.62	Professional		$10.53	$17.89	$76.62