Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $851.14	Facility		$95.50	$218.78	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $91.20	Professional		$28.18	$30.20	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $36.31 / $70.79	Facility		$31.62	$36.31	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $57.54	Professional		$30.90	$33.11	$57.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $162.18	Professional		$58.88	$79.43	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $38.02	Professional		$30.20	$33.88	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $398.11	Professional		$186.21	$309.03	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $61.66	Facility		$30.20	$36.31	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $51.29	Professional		$30.20	$38.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $57.54	Professional		$30.20	$30.20	$57.54