Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $50.85 / $50.85	Facility		$46.43	$50.85	$50.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $49.21 / $65.95	Professional		$41.67	$49.21	$65.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.20 / $1.20	Facility		$1.11	$1.20	$1.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $44.20 / $99.15	Professional		$1.12	$44.20	$99.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $86.38 / $98.90	Facility		$25.88	$86.38	$98.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $95.00 / $139.65	Professional		$66.50	$95.00	$139.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $63.64 / $163.54	Professional		$48.79	$63.64	$163.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $38.90 / $46.69	Professional		$31.13	$38.90	$46.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $350.00 / $801.00	Professional		$25.00	$350.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $211.96 / $230.33	Facility		$109.74	$211.96	$230.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.20 / $302.20 / $378.23	Professional		$302.20	$302.20	$378.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $69.70 / $76.68	Professional		$60.00	$69.70	$76.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $54.56 / $78.45	Facility		$43.24	$54.56	$78.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $37.00 / $111.25	Professional		$27.00	$37.00	$111.25
United Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $53.98 / $53.98	Facility		$53.98	$53.98	$53.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $54.34 / $175.93	Professional		$39.40	$54.34	$175.93