Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.39 / $45.71	Facility		$12.02	$22.39	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $575.44	Professional		$7.08	$9.33	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $758.58	Facility		$158.49	$173.78	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $263.03	Professional		$112.20	$151.36	$263.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $213.80 / $478.63	Facility		$91.20	$213.80	$478.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $478.63	Professional		$181.97	$257.04	$478.63
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 $251.19 / $602.56 / $1,698.24	Professional		$251.19	$602.56	$1,698.24
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 $7.59 / $13.49 / $457.09	Facility		$7.59	$13.49	$457.09
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 / $35.48	Professional		$19.95	$28.84	$35.48