Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $501.19 / $851.14	Facility		$213.80	$501.19	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $363.08	Professional		$112.20	$165.96	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $758.58	Facility		$131.83	$147.91	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $213.80	Professional		$107.15	$125.89	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $81.28 / $478.63	Facility		$28.18	$81.28	$478.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $691.83	Professional		$269.15	$389.05	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $275.42 / $549.54	Facility		$46.77	$275.42	$549.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $588.84	Professional		$123.03	$269.15	$588.84
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 $302.00 / $316.23 / $316.23	Professional		$302.00	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $407.38	Facility		$112.20	$194.98	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
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 $19.95 / $28.84 / $134.90	Professional		$19.95	$28.84	$134.90