Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $93.33 / $181.97	Facility		$38.02	$93.33	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.11	Professional		$18.20	$22.91	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $1,380.38	Facility		$14.13	$15.49	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $38.90	Professional		$13.49	$21.88	$38.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $69.18 / $162.18	Facility		$29.51	$69.18	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $24.55	Professional		$9.55	$13.80	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $2.34 / $97.72	Facility		$0.78	$2.34	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $48.98	Professional		$11.22	$17.38	$48.98
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 $60.26 / $134.90 / $363.08	Professional		$60.26	$134.90	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $27.54 / $50.12	Facility		$10.00	$27.54	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $50.12	Professional		$11.22	$17.38	$50.12
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 $707.95 / $741.31 / $1,122.02	Facility		$707.95	$741.31	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $38.02	Professional		$8.91	$13.80	$38.02