Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $68.95 / $189.91	Facility		$33.88	$68.95	$189.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $2,075.40 / $4,536.00	Professional		$33.88	$2,075.40	$4,536.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $54.12 / $121.31	Facility		$35.94	$54.12	$121.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $81.33	Professional		$33.88	$34.47	$81.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $41.21 / $79.86	Facility		$38.92	$41.21	$79.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $90.78	Professional		$34.52	$34.52	$90.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $33.88	Facility		$31.96	$31.96	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.90	Professional		$33.88	$33.88	$39.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $35.25 / $47.58	Professional		$34.72	$35.25	$47.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $40.65 / $64.70	Professional		$30.49	$40.65	$64.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $169.40 / $173.60	Facility		$75.00	$169.40	$173.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $155.61 / $155.61	Professional		$155.61	$155.61	$155.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $72.26 / $72.26	Professional		$35.25	$72.26	$72.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $35.57 / $57.83	Facility		$33.88	$35.57	$57.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Professional		$33.88	$33.88	$45.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $33.88 / $50.82	Professional		$27.10	$33.88	$50.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $56.84	Professional		$33.88	$33.88	$56.84