Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $73.80	Facility		$72.00	$72.00	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $84.60 / $191.00	Professional		$67.81	$84.60	$191.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $96.54 / $448.59	Professional		$40.25	$96.54	$448.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Facility		$93.21	$93.21	$93.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $86.40	Professional		$72.00	$72.00	$86.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.65 / $442.50 / $458.61	Facility		$160.65	$442.50	$458.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $542.51 / $542.51 / $707.18	Professional		$542.51	$542.51	$707.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $116.30 / $202.46	Facility		$78.66	$116.30	$202.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $77.48	Professional		$68.73	$68.73	$77.48
United Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $96.30 / $206.88	Professional		$72.40	$96.30	$206.88