Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $65.56 / $669.00	Facility		$17.45	$65.56	$669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $53.71 / $78.29	Professional		$17.10	$53.71	$78.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $21.93 / $24.75	Facility		$18.89	$21.93	$24.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $69.16 / $151.28	Professional		$19.27	$69.16	$151.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $129.40 / $216.73	Facility		$91.29	$129.40	$216.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $52.75 / $112.68	Professional		$18.98	$52.75	$112.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $230.04	Facility		$28.89	$28.89	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $68.86 / $138.84	Professional		$20.34	$68.86	$138.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $59.31 / $121.64	Professional		$19.21	$59.31	$121.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $72.37 / $143.32	Professional		$17.55	$72.37	$143.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $85.74 / $85.74	Facility		$80.22	$85.74	$85.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $410.48 / $652.20	Professional		$115.39	$410.48	$652.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $51.01 / $122.66	Facility		$18.05	$51.01	$122.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $71.27 / $159.16	Professional		$20.96	$71.27	$159.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $59.31 / $112.72	Professional		$15.51	$59.31	$112.72
United Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $84.99 / $84.99	Facility		$84.99	$84.99	$84.99
United Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $72.58 / $169.82	Professional		$53.36	$72.58	$169.82