Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $73.22	Facility		$65.20	$65.20	$73.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $65.20 / $195.34	Professional		$56.86	$65.20	$195.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.79 / $110.79 / $125.47	Facility		$110.79	$110.79	$125.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $114.94 / $195.36	Professional		$74.20	$114.94	$195.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $83.91 / $195.56	Professional		$62.57	$83.91	$195.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $100.56 / $216.01	Professional		$74.66	$100.56	$216.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $62.57 / $81.65	Professional		$62.57	$62.57	$81.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $373.00 / $801.00	Professional		$241.00	$373.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.44 / $328.49 / $356.87	Facility		$160.44	$328.49	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $464.35 / $464.35	Professional		$464.35	$464.35	$464.35
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 $64.73 / $88.68 / $124.08	Facility		$64.73	$88.68	$124.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $112.59 / $199.27	Professional		$78.59	$112.59	$199.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $90.02 / $90.02	Professional		$65.47	$90.02	$90.02
United Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $81.41 / $178.72	Professional		$59.54	$81.41	$178.72