Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $512.86 / $1,071.52	Facility		$208.93	$512.86	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $218.78	Professional		$93.33	$114.82	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $251.19	Facility		$33.88	$38.02	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $169.82	Professional		$32.36	$85.11	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $162.18	Facility		$56.23	$107.15	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $204.17	Professional		$75.86	$107.15	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $91.20 / $190.55	Facility		$38.02	$91.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $77.62	Professional		$63.10	$63.10	$77.62
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 $72.44 / $213.80 / $501.19	Professional		$72.44	$213.80	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $186.21 / $186.21	Facility		$169.82	$186.21	$186.21
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 $45.71 / $97.72 / $173.78	Facility		$45.71	$97.72	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $131.83	Facility		$83.18	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $131.83	Professional		$14.79	$28.84	$131.83