Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $67.19 / $67.19	Facility		$67.19	$67.19	$67.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $67.19 / $68.81	Professional		$64.76	$67.19	$68.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $46.00 / $77.83	Facility		$38.63	$46.00	$77.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $41.62 / $76.09	Professional		$39.64	$41.62	$76.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $38.82 / $61.12	Facility		$27.20	$38.82	$61.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $97.51	Professional		$40.00	$40.00	$97.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $21.45	Professional		$14.30	$14.30	$21.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $161.90 / $321.04	Facility		$80.00	$161.90	$321.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $307.61 / $325.32 / $345.15	Professional		$307.61	$325.32	$345.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $60.00 / $85.00	Professional		$15.73	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $68.81 / $146.88	Facility		$64.76	$68.81	$146.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $18.59	Professional		$14.30	$14.30	$18.59
United Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $195.53 / $195.53	Professional		$195.53	$195.53	$195.53