Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $177.16 / $208.43	Facility		$78.63	$177.16	$208.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $78.63 / $94.36	Professional		$75.79	$78.63	$94.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.05 / $84.56 / $96.80	Facility		$69.05	$84.56	$96.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $82.11 / $190.86	Professional		$78.95	$82.11	$190.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $113.58 / $202.81	Facility		$90.71	$113.58	$202.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $121.94	Professional		$85.27	$85.27	$121.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Professional		$80.53	$83.69	$94.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $74.17 / $89.00	Professional		$74.17	$74.17	$89.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $418.45 / $418.45	Facility		$100.00	$418.45	$418.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Facility		$80.53	$83.69	$94.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Professional		$80.53	$83.69	$94.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $96.42 / $126.09	Professional		$74.17	$96.42	$126.09
United Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.74 / $133.86	Professional		$80.53	$94.74	$133.86