Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $70.66 / $267.36	Facility		$45.22	$70.66	$267.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $45.24 / $90.40	Professional		$38.65	$45.24	$90.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $227.25 / $876.00	Facility		$26.65	$227.25	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.30 / $33.72	Professional		$14.13	$25.30	$33.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $79.84 / $99.63	Facility		$25.54	$79.84	$99.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.00 / $64.27	Professional		$18.20	$26.00	$64.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $40.86 / $87.71	Facility		$24.26	$40.86	$87.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $40.07 / $50.75	Professional		$22.06	$40.07	$50.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $99.00	Professional		$35.33	$35.33	$99.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $35.33 / $78.81	Professional		$28.26	$35.33	$78.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $167.82 / $167.82	Facility		$56.53	$167.82	$167.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $50.10 / $210.50	Professional		$48.18	$50.10	$210.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $45.23 / $64.68	Facility		$32.83	$45.23	$64.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $35.33 / $50.52	Professional		$25.32	$35.33	$50.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $35.33 / $49.46	Professional		$28.26	$35.33	$49.46
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $20.00 / $94.27	Professional		$18.80	$20.00	$94.27