Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $142.35 / $495.09	Facility		$31.21	$142.35	$495.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $31.21 / $31.21	Professional		$25.94	$31.21	$31.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.78 / $33.90 / $38.42	Facility		$31.78	$33.90	$38.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $31.96 / $62.32	Professional		$27.86	$31.96	$62.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $72.55 / $176.86	Professional		$65.30	$72.55	$176.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $15.60	Professional		$13.00	$13.00	$15.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $68.00 / $171.00	Professional		$45.00	$68.00	$171.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $138.08 / $143.07	Facility		$85.00	$138.08	$143.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $251.75 / $251.75	Professional		$251.75	$251.75	$251.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $85.00	Professional		$29.72	$29.72	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $37.60 / $44.65	Facility		$30.08	$37.60	$44.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $35.72	Professional		$31.96	$31.96	$35.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $14.30 / $22.10	Professional		$13.00	$14.30	$22.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $72.23	Professional		$37.60	$37.60	$72.23