Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $55.13 / $63.25	Facility		$46.35	$55.13	$63.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $50.98 / $73.43	Professional		$41.49	$50.98	$73.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $47.09 / $124.02	Facility		$38.95	$47.09	$124.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $55.23 / $101.12	Professional		$42.19	$55.23	$101.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $62.62 / $94.64	Professional		$46.49	$62.62	$94.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $69.45 / $122.63	Professional		$52.09	$69.45	$122.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $62.99 / $82.92	Professional		$52.49	$62.99	$82.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $56.38 / $106.00	Professional		$42.96	$56.38	$106.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $243.53 / $243.53	Facility		$224.03	$243.53	$243.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.01 / $320.01 / $376.47	Professional		$320.01	$320.01	$376.47
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 $45.47 / $59.34 / $82.03	Facility		$45.47	$59.34	$82.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $69.81 / $130.94	Professional		$52.52	$69.81	$130.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $62.84 / $89.23	Professional		$50.30	$62.84	$89.23
United Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $71.81 / $197.97	Professional		$49.56	$71.81	$197.97