Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $87.03 / $498.45	Facility		$66.48	$87.03	$498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $75.87 / $156.12	Professional		$62.25	$75.87	$156.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $80.00 / $210.54	Facility		$66.54	$80.00	$210.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $88.92 / $184.86	Professional		$68.93	$88.92	$184.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $83.49 / $131.35	Professional		$58.58	$83.49	$131.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Facility		$92.00	$92.00	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $97.74 / $207.03	Professional		$72.94	$97.74	$207.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $34.76 / $41.71	Professional		$34.76	$34.76	$41.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $638.07 / $801.00	Professional		$130.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.54 / $307.29 / $333.50	Facility		$248.54	$307.29	$333.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $434.29 / $512.39 / $637.13	Professional		$434.29	$512.39	$637.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.23 / $67.30 / $112.17	Professional		$38.23	$67.30	$112.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $83.51 / $112.38	Facility		$64.29	$83.51	$112.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $102.23 / $196.81	Professional		$72.94	$102.23	$196.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $69.05 / $99.90	Professional		$48.66	$69.05	$99.90
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $86.17 / $219.79	Professional		$65.23	$86.17	$219.79