Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $93.10 / $553.63	Facility		$77.23	$93.10	$553.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $89.07 / $206.45	Professional		$76.98	$89.07	$206.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $88.57 / $233.11	Facility		$73.67	$88.57	$233.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $99.30 / $289.33	Professional		$76.33	$99.30	$289.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $35.00 / $75.34	Professional		$22.50	$35.00	$75.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Facility		$102.00	$102.00	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $115.53 / $247.79	Professional		$88.89	$115.53	$247.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $34.76 / $52.14	Professional		$27.81	$34.76	$52.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $638.07 / $801.00	Professional		$197.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $387.55 / $419.47	Facility		$286.64	$387.55	$419.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $541.15 / $580.23 / $740.78	Professional		$541.15	$580.23	$740.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.23 / $48.49 / $130.19	Professional		$38.23	$48.49	$130.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $102.00 / $133.07	Facility		$78.31	$102.00	$133.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.95 / $235.30	Professional		$88.93	$121.95	$235.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $79.34 / $105.52	Professional		$38.93	$79.34	$105.52
United Facility/Professional Facility Modifier Low / Median / High Price $145.80 / $145.80 / $145.80	Facility		$145.80	$145.80	$145.80
United Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $97.44 / $226.87	Professional		$72.90	$97.44	$226.87