Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $165.61 / $1,145.47	Facility		$54.15	$165.61	$1,145.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $57.63 / $93.77	Professional		$49.93	$57.63	$93.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $27.69 / $31.37	Facility		$25.95	$27.69	$31.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $48.80 / $101.05	Professional		$26.10	$48.80	$101.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $27.47 / $68.69	Professional		$21.98	$27.47	$68.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $30.46 / $36.54	Professional		$30.46	$30.46	$36.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $129.00 / $325.00	Professional		$85.00	$129.00	$325.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.64 / $516.83 / $535.71	Facility		$187.64	$516.83	$535.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $633.60 / $825.98	Professional		$633.60	$633.60	$825.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $95.25 / $210.75	Facility		$71.40	$95.25	$210.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $33.51 / $51.78	Professional		$30.46	$33.51	$51.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $63.23 / $228.75	Professional		$40.70	$63.23	$228.75