Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $776.35 / $10,224.00	Facility		$35.56	$776.35	$10,224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $36.40 / $950.40	Professional		$35.56	$36.40	$950.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $41.76 / $87.15	Facility		$28.87	$41.76	$87.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $41.80 / $115.23	Professional		$36.40	$41.80	$115.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $34.74 / $62.96	Facility		$23.56	$34.74	$62.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $164.81 / $367.23	Professional		$115.37	$164.81	$367.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $152.28 / $182.74	Professional		$152.28	$152.28	$182.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $81.00 / $638.07	Professional		$37.00	$81.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $206.92 / $685.00 / $709.98	Facility		$206.92	$685.00	$709.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $664.56 / $664.56 / $910.88	Professional		$664.56	$664.56	$910.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $60.00 / $85.00	Professional		$22.26	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $48.84 / $59.96	Facility		$39.11	$48.84	$59.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $88.54 / $88.54	Professional		$50.88	$88.54	$88.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $152.28 / $228.42	Professional		$152.28	$152.28	$228.42
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $68.54	Professional		$42.84	$42.84	$68.54