Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $56.76 / $63.70	Facility		$56.76	$56.76	$63.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $56.76 / $169.21	Professional		$49.44	$56.76	$169.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.42 / $85.42 / $96.73	Facility		$85.42	$85.42	$96.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $89.33 / $158.16	Professional		$63.70	$89.33	$158.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $72.91 / $170.08	Professional		$54.42	$72.91	$170.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Facility		$72.36	$72.36	$72.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $87.56 / $186.78	Professional		$64.67	$87.56	$186.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $54.45 / $71.05	Professional		$54.45	$54.45	$71.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $173.00 / $801.00	Professional		$106.00	$173.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $284.58 / $309.13	Facility		$139.00	$284.58	$309.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.24 / $404.24 / $404.24	Professional		$404.24	$404.24	$404.24
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 $56.33 / $76.81 / $107.63	Facility		$56.33	$76.81	$107.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $97.82 / $172.96	Professional		$68.13	$97.82	$172.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $77.97 / $77.97	Professional		$56.70	$77.97	$77.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $72.38 / $161.31	Professional		$53.48	$72.38	$161.31