Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $1,343.15	Facility		$134.47	$134.47	$1,343.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $134.47 / $231.04	Professional		$111.79	$134.47	$231.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $144.61 / $165.54	Facility		$118.09	$144.61	$165.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $137.72 / $264.42	Professional		$44.22	$137.72	$264.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $31.64 / $79.12	Professional		$24.54	$31.64	$79.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $135.02 / $162.02	Professional		$135.02	$135.02	$162.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $187.00 / $393.93	Professional		$123.00	$187.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $137.72 / $137.72	Facility		$100.00	$137.72	$137.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $324.04 / $324.04	Professional		$324.04	$324.04	$324.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $94.32	Professional		$85.00	$85.00	$94.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $137.72 / $192.40	Facility		$41.35	$137.72	$192.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $162.02	Professional		$137.72	$137.72	$162.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $148.52 / $229.53	Professional		$135.02	$148.52	$229.53
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $295.68	Professional		$153.91	$153.91	$295.68