Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $33.49 / $194.82	Facility		$29.40	$33.49	$194.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $32.90 / $47.55	Professional		$28.88	$32.90	$47.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $34.94 / $91.96	Facility		$29.06	$34.94	$91.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $37.40 / $77.70	Professional		$30.11	$37.40	$77.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $71.50 / $111.46	Facility		$35.53	$71.50	$111.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $33.72 / $57.00	Professional		$24.16	$33.72	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Facility		$37.00	$37.00	$37.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $41.41 / $87.43	Professional		$33.54	$41.41	$87.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $33.04	Professional		$27.54	$27.54	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $393.93 / $801.00	Professional		$48.43	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $85.00 / $143.82	Facility		$74.11	$85.00	$143.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $203.45 / $257.55	Professional		$201.28	$203.45	$257.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Professional		$30.29	$30.29	$30.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $37.26 / $51.32	Facility		$28.88	$37.26	$51.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $42.67 / $83.23	Professional		$33.54	$42.67	$83.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $32.28 / $46.82	Professional		$28.59	$32.28	$46.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $34.65 / $90.58	Professional		$25.92	$34.65	$90.58