Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $91.36 / $91.36	Facility		$79.26	$91.36	$91.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $81.29 / $108.40	Professional		$68.30	$81.29	$108.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $66.03 / $98.78	Professional		$40.00	$66.03	$98.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $106.40 / $160.80	Professional		$74.48	$106.40	$160.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $85.64 / $214.87	Professional		$51.56	$85.64	$214.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $36.71 / $44.05	Professional		$36.71	$36.71	$44.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $84.00 / $801.00	Professional		$75.00	$84.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $452.36 / $568.22	Facility		$169.73	$452.36	$568.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.21 / $524.21 / $684.60	Professional		$524.21	$524.21	$684.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $92.73 / $126.59	Facility		$70.40	$92.73	$126.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $37.00 / $129.80	Professional		$27.00	$37.00	$129.80
United Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $93.79 / $93.79	Facility		$93.79	$93.79	$93.79
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $91.96 / $290.74	Professional		$65.34	$91.96	$290.74