Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $29.52 / $180.41	Facility		$24.94	$29.52	$180.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $26.26 / $54.00	Professional		$22.54	$26.26	$54.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $293.00 / $876.00	Facility		$3.84	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.89 / $56.07	Professional		$16.93	$26.89	$56.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $95.50 / $189.75	Facility		$48.90	$95.50	$189.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $26.53 / $62.92	Professional		$18.57	$26.53	$62.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $171.67 / $587.45	Facility		$28.34	$171.67	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $33.22 / $70.98	Professional		$24.54	$33.22	$70.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.06 / $8.47	Professional		$5.57	$7.06	$8.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $61.00 / $801.00	Professional		$38.00	$61.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $115.03 / $136.22	Facility		$48.71	$115.03	$136.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $215.63	Professional		$206.00	$206.00	$215.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $60.00	Professional		$34.47	$34.47	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $31.62 / $45.07	Facility		$19.62	$31.62	$45.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $36.72 / $65.59	Professional		$25.48	$36.72	$65.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $14.38 / $37.25	Professional		$7.99	$14.38	$37.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $25.55 / $62.60	Professional		$18.64	$25.55	$62.60