Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $74.12 / $334.50	Facility		$25.30	$74.12	$334.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $61.52 / $87.50	Professional		$25.15	$61.52	$87.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $31.99 / $36.10	Facility		$27.57	$31.99	$36.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $80.67 / $171.54	Professional		$28.12	$80.67	$171.54
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 $27.73 / $67.87 / $127.08	Professional		$27.73	$67.87	$127.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $230.04	Facility		$42.21	$42.21	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $78.23 / $154.05	Professional		$29.95	$78.23	$154.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $67.14 / $130.09	Professional		$28.09	$67.14	$130.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $82.13 / $153.82	Professional		$25.53	$82.13	$153.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $125.07 / $125.07	Facility		$116.58	$125.07	$125.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $466.88 / $703.88	Professional		$167.46	$466.88	$703.88
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 $26.66 / $67.12 / $131.51	Facility		$26.66	$67.12	$131.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $81.56 / $186.69	Professional		$30.56	$81.56	$186.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $67.14 / $120.55	Professional		$22.69	$67.14	$120.55
United Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $92.26 / $92.26	Facility		$92.26	$92.26	$92.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $80.30 / $189.24	Professional		$60.33	$80.30	$189.24