Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $91.20 / $245.47	Facility		$19.95	$91.20	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $112.20	Professional		$15.14	$22.91	$112.20
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $46.77 / $104.71	Professional		$21.38	$46.77	$104.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $120.23	Facility		$34.67	$77.62	$120.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $85.11	Professional		$28.18	$37.15	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Facility		$72.44	$72.44	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $72.44	Professional		$20.89	$32.36	$72.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $51.29	Professional		$38.02	$42.66	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $60.26	Professional		$28.84	$34.67	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $257.04	Professional		$199.53	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $70.79	Professional		$44.67	$44.67	$70.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $51.29	Facility		$20.42	$33.88	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $79.43	Professional		$20.89	$33.88	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $66.07	Professional		$24.55	$32.36	$66.07