Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $37.35 / $373.04	Facility		$37.35	$37.35	$373.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $37.35 / $37.35	Professional		$31.05	$37.35	$37.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $41.63 / $54.00	Facility		$34.43	$41.63	$54.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $38.25 / $74.70	Professional		$37.50	$38.25	$74.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $40.00 / $100.00	Professional		$36.00	$40.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.05 / $467.05 / $560.46	Professional		$467.05	$467.05	$560.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $573.00 / $853.00	Professional		$377.00	$573.00	$853.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $168.75	Facility		$85.00	$100.00	$168.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $205.45	Professional		$171.00	$171.00	$205.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $1,391.58	Professional		$85.00	$85.00	$1,391.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $45.00 / $53.50	Facility		$37.35	$45.00	$53.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $45.00	Professional		$38.25	$38.25	$45.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.05 / $513.76 / $793.99	Professional		$467.05	$513.76	$793.99
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $75.39	Professional		$37.50	$37.50	$75.39