Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $52.00 / $52.00	Professional		$50.00	$52.00	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $79.30 / $227.80	Facility		$54.00	$79.30	$227.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.50 / $72.00	Professional		$45.00	$65.50	$72.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $133.80 / $223.60	Professional		$100.00	$133.80	$223.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $67.09 / $82.35	Professional		$61.00	$67.09	$82.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $76.25 / $140.30	Professional		$54.00	$76.25	$140.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $94.75 / $285.48 / $289.75	Facility		$94.75	$285.48	$289.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $303.77 / $457.50	Professional		$303.77	$303.77	$457.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $87.75 / $133.25	Professional		$70.00	$87.75	$133.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $61.00 / $76.98	Facility		$54.90	$61.00	$76.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $71.06	Professional		$21.25	$21.25	$71.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $92.66	Professional		$35.53	$35.53	$92.66