Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $112.50 / $350.85	Facility		$63.79	$112.50	$350.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $63.79 / $80.00	Professional		$55.20	$63.79	$80.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $71.09 / $92.23	Facility		$58.80	$71.09	$92.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $65.33 / $126.05	Professional		$50.99	$65.33	$126.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $32.90 / $82.73	Professional		$29.62	$32.90	$82.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $76.86	Professional		$64.05	$64.05	$76.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $126.00 / $318.00	Professional		$83.00	$126.00	$318.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $153.72 / $288.23	Facility		$85.00	$153.72	$288.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $292.07 / $292.07 / $345.87	Professional		$292.07	$292.07	$345.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $88.68	Professional		$85.00	$85.00	$88.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $66.98 / $91.28	Facility		$55.68	$66.98	$91.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $73.02	Professional		$65.33	$65.33	$73.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $70.45 / $108.89	Professional		$64.05	$70.45	$108.89
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $130.74	Professional		$64.05	$64.05	$130.74