Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $43.50 / $177.07	Facility		$37.77	$43.50	$177.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $38.60 / $100.88	Professional		$31.93	$38.60	$100.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.37 / $3.60	Facility		$1.12	$1.37	$3.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.92 / $92.36	Professional		$1.21	$1.92	$92.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $39.18 / $64.80	Professional		$29.67	$39.18	$64.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $48.07 / $97.42	Professional		$38.67	$48.07	$97.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $36.65	Professional		$30.54	$30.54	$36.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $638.07 / $801.00	Professional		$62.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $477.89 / $505.63	Facility		$178.64	$477.89	$505.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $685.57 / $685.57 / $685.57	Professional		$685.57	$685.57	$685.57
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 $34.06 / $44.46 / $61.47	Facility		$34.06	$44.46	$61.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $48.07 / $100.00	Professional		$38.19	$48.07	$100.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $42.75 / $51.91	Professional		$35.65	$42.75	$51.91
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $46.19 / $116.09	Professional		$33.47	$46.19	$116.09