Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $50.12	Facility		$45.71	$45.71	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $114.82	Professional		$41.69	$50.12	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.20	Facility		$1.12	$1.12	$1.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $56.23 / $154.88	Professional		$1.20	$56.23	$154.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $74.13	Facility		$25.70	$25.70	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $158.49	Professional		$48.98	$95.50	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $131.83	Professional		$46.77	$61.66	$131.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $173.78	Professional		$134.90	$169.82	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $81.28 / $630.96	Professional		$20.89	$81.28	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $380.19	Professional		$302.00	$380.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $75.86	Professional		$41.69	$69.18	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $83.18	Facility		$42.66	$53.70	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $128.82	Professional		$48.98	$64.57	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $120.23	Professional		$38.90	$51.29	$120.23