Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $33.04 / $54.07	Facility		$29.32	$33.04	$54.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $47.00 / $67.93	Professional		$29.17	$47.00	$67.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $27.66 / $72.84	Facility		$22.87	$27.66	$72.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $40.95 / $85.93	Professional		$24.78	$40.95	$85.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $48.19 / $73.91	Professional		$32.08	$48.19	$73.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $53.87 / $94.68	Professional		$33.14	$53.87	$94.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $50.81 / $82.23	Professional		$33.86	$50.81	$82.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $43.79 / $78.62	Professional		$26.73	$43.79	$78.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $149.38 / $149.38	Facility		$137.78	$149.38	$149.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $193.31 / $246.98 / $428.03	Professional		$193.31	$246.98	$428.03
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 $29.32 / $46.91 / $69.61	Facility		$29.32	$46.91	$69.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $54.25 / $102.92	Professional		$32.85	$54.25	$102.92
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $55.88 / $141.72	Professional		$39.15	$55.88	$141.72