Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $96.00 / $111.60	Facility		$47.97	$96.00	$111.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $58.18	Professional		$47.97	$48.45	$58.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $76.62 / $171.76	Facility		$50.06	$76.62	$171.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $113.20	Professional		$47.97	$48.00	$113.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $52.25 / $100.00	Facility		$46.75	$52.25	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $48.88 / $108.51	Professional		$48.88	$48.88	$108.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $47.97	Facility		$45.26	$45.26	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $54.31	Professional		$47.97	$47.97	$54.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $48.42 / $65.37	Professional		$48.23	$48.42	$65.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $57.56 / $105.53	Professional		$43.17	$57.56	$105.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $239.85 / $241.15	Facility		$75.00	$239.85	$241.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $213.78 / $213.78	Professional		$213.78	$213.78	$213.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $65.36 / $99.26	Professional		$49.87	$65.36	$99.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $49.89 / $81.52	Facility		$47.97	$49.89	$81.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $60.73	Professional		$47.97	$47.97	$60.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $47.97 / $71.95	Professional		$38.38	$47.97	$71.95
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $85.38	Professional		$47.97	$47.97	$85.38