Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $245.25 / $577.35	Facility		$69.72	$245.25	$577.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $69.72 / $71.40	Professional		$57.96	$69.72	$71.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $74.97 / $85.82	Facility		$61.23	$74.97	$85.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $71.40 / $134.22	Professional		$54.00	$71.40	$134.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $57.00 / $138.94	Professional		$51.30	$57.00	$138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $34.83 / $41.80	Professional		$34.83	$34.83	$41.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $327.45 / $339.39	Facility		$118.87	$327.45	$339.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $429.65 / $429.65 / $523.28	Professional		$429.65	$429.65	$523.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $86.71	Professional		$85.00	$85.00	$86.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $83.16 / $99.75	Facility		$67.20	$83.16	$99.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $79.80	Professional		$71.40	$71.40	$79.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $38.31 / $59.21	Professional		$34.83	$38.31	$59.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $153.30	Professional		$79.80	$79.80	$153.30