Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $416.87 / $1,412.54	Facility		$158.49	$416.87	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $389.05	Professional		$81.28	$104.71	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.90 / $251.19	Facility		$35.48	$38.90	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $93.33 / $154.88	Professional		$33.11	$93.33	$154.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $102.33 / $162.18	Facility		$56.23	$102.33	$162.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $275.42	Professional		$102.33	$147.91	$275.42
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 $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
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 $125.89 / $257.04 / $436.52	Professional		$125.89	$257.04	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
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 $47.86 / $91.20 / $169.82	Facility		$47.86	$91.20	$169.82
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 $16.22 / $28.84 / $194.98	Professional		$16.22	$28.84	$194.98