Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $194.98 / $363.08	Facility		$42.66	$194.98	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $87.10	Professional		$41.69	$43.65	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $47.86 / $67.61	Facility		$0.02	$47.86	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $85.11	Professional		$44.67	$44.67	$85.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $97.72	Professional		$35.48	$48.98	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $50.12 / $54.95	Professional		$22.39	$50.12	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $234.42	Professional		$70.79	$114.82	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $436.52	Professional		$302.00	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $100.00	Facility		$44.67	$53.70	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $38.02	Professional		$22.39	$28.84	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $95.50	Professional		$50.12	$50.12	$95.50