Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $76.14 / $85.66	Facility		$67.08	$76.14	$85.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $74.84 / $107.27	Professional		$63.23	$74.84	$107.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $68.22 / $179.67	Facility		$56.42	$68.22	$179.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $77.09 / $144.00	Professional		$60.00	$77.09	$144.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $85.30 / $126.75	Professional		$64.70	$85.30	$126.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $97.59 / $175.13	Professional		$75.31	$97.59	$175.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $91.36 / $114.53	Professional		$71.31	$91.36	$114.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $80.95 / $143.16	Professional		$62.93	$80.95	$143.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $365.94 / $365.94	Facility		$337.57	$365.94	$365.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.92 / $462.92 / $512.83	Professional		$462.92	$462.92	$512.83
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 $66.30 / $84.81 / $115.67	Facility		$66.30	$84.81	$115.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $97.89 / $186.86	Professional		$75.31	$97.89	$186.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $92.25 / $121.23	Professional		$75.47	$92.25	$121.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $94.71 / $234.84	Professional		$67.48	$94.71	$234.84