Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $91.20 / $173.78	Facility		$35.48	$91.20	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $37.15	Professional		$19.95	$25.12	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.38 / $125.89	Facility		$15.49	$17.38	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.30 / $54.95	Professional		$14.79	$26.30	$54.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $52.48 / $79.43	Facility		$22.39	$52.48	$79.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $19.05	Professional		$7.59	$10.72	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $3.39 / $107.15	Facility		$0.87	$3.39	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $56.23	Professional		$12.02	$19.50	$56.23
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 $26.92 / $60.26 / $173.78	Professional		$26.92	$60.26	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 $8.13 / $30.20 / $56.23	Facility		$8.13	$30.20	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $56.23	Professional		$12.02	$19.50	$56.23
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 $45.71 / $47.86 / $72.44	Facility		$45.71	$47.86	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $41.69	Professional		$9.77	$15.14	$41.69