Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $47.72 / $47.72	Facility		$47.72	$47.72	$47.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $55.27 / $114.33	Professional		$47.72	$55.27	$114.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $293.00 / $876.00	Facility		$120.81	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $139.35 / $301.42	Professional		$99.00	$139.35	$301.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $84.99 / $719.40	Facility		$55.35	$84.99	$719.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $154.08 / $308.45	Professional		$107.86	$154.08	$308.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.73 / $335.73 / $1,123.31	Facility		$125.73	$335.73	$1,123.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $156.99 / $343.71	Professional		$108.03	$156.99	$343.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $89.07 / $112.97	Professional		$59.38	$89.07	$112.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $167.78 / $295.45	Professional		$137.28	$167.78	$295.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.36 / $263.24 / $535.23	Facility		$234.36	$263.24	$535.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $626.73 / $661.77 / $943.88	Professional		$626.73	$661.77	$943.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $48.69 / $99.81	Professional		$20.86	$48.69	$99.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $183.04 / $226.66	Facility		$68.23	$183.04	$226.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $138.90 / $253.45	Professional		$84.26	$138.90	$253.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $122.38 / $169.45	Professional		$77.20	$122.38	$169.45
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $90.02 / $321.38	Professional		$63.02	$90.02	$321.38