Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $37.06 / $139.32	Facility		$32.22	$37.06	$139.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $32.22 / $53.95	Professional		$27.34	$32.22	$53.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.18 / $3.12	Facility		$0.98	$1.18	$3.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $25.27 / $111.55	Professional		$1.03	$25.27	$111.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $33.35 / $58.80	Professional		$23.91	$33.35	$58.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $42.10 / $98.04	Professional		$32.94	$42.10	$98.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $33.97	Professional		$28.32	$28.32	$33.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $638.07 / $801.00	Professional		$91.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $170.86 / $486.98	Facility		$157.44	$170.86	$486.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.67 / $589.67 / $589.67	Professional		$589.67	$589.67	$589.67
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 $29.63 / $38.81 / $53.91	Facility		$29.63	$38.81	$53.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $41.87 / $97.44	Professional		$32.47	$41.87	$97.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $39.65 / $48.15	Professional		$31.33	$39.65	$48.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $40.27 / $99.35	Professional		$28.62	$40.27	$99.35