Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $185.85 / $707.56	Facility		$29.88	$185.85	$707.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $29.88 / $71.20	Professional		$24.84	$29.88	$71.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.29 / $43.20	Facility		$27.54	$33.29	$43.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.60 / $59.76	Professional		$30.00	$30.60	$59.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $61.43 / $149.75	Professional		$55.29	$61.43	$149.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $36.00	Professional		$30.00	$30.00	$36.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $248.00 / $393.93	Professional		$163.00	$248.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $135.00	Facility		$85.00	$100.00	$135.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $43.46 / $85.00	Professional		$43.46	$43.46	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $36.00 / $42.75	Facility		$29.68	$36.00	$42.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $34.20	Professional		$30.60	$30.60	$34.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.00 / $51.00	Professional		$30.00	$33.00	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $59.22	Professional		$30.00	$30.00	$59.22