Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $57.25 / $257.87	Facility		$49.83	$57.25	$257.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $49.83 / $185.00	Professional		$41.92	$49.83	$185.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.82 / $4.79	Facility		$1.51	$1.82	$4.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $38.74 / $145.22	Professional		$1.58	$38.74	$145.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $51.43 / $86.83	Professional		$37.03	$51.43	$86.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $64.06 / $148.85	Professional		$51.02	$64.06	$148.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $48.26 / $57.91	Professional		$48.26	$48.26	$57.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $638.07 / $801.00	Professional		$124.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $261.35 / $876.56	Facility		$240.69	$261.35	$876.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.34 / $1,028.34 / $1,028.34	Professional		$1,028.34	$1,028.34	$1,028.34
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 $45.75 / $59.50 / $83.20	Facility		$45.75	$59.50	$83.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $63.93 / $148.59	Professional		$49.17	$63.93	$148.59
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $61.50 / $159.81	Professional		$43.47	$61.50	$159.81