Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $171.75 / $499.50	Facility		$54.34	$171.75	$499.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $54.47 / $205.00	Professional		$47.61	$54.47	$205.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $191.67 / $191.67 / $191.67	Professional	CO	$191.67	$191.67	$191.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $75.00 / $179.07	Professional		$43.82	$75.00	$179.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $100.00 / $160.09	Facility		$41.04	$100.00	$160.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $54.00 / $96.46	Professional		$38.81	$54.00	$96.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $85.00 / $315.00	Facility		$72.00	$85.00	$315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $61.67 / $123.48	Professional		$35.58	$61.67	$123.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $88.68	Professional		$65.69	$65.69	$88.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $57.34 / $100.35	Professional		$48.16	$57.34	$100.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $180.44 / $272.37	Facility		$93.83	$180.44	$272.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $344.63 / $344.63 / $427.88	Professional		$344.63	$344.63	$427.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.31	Professional		$32.34	$32.34	$72.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $63.16 / $84.84	Facility		$48.16	$63.16	$84.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $63.85 / $123.48	Professional		$37.07	$63.85	$123.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $176.80 / $176.80	Professional		$176.80	$176.80	$176.80
United Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $54.13 / $121.01	Professional		$41.10	$54.13	$121.01