Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $114.13 / $469.14	Facility		$55.47	$114.13	$469.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.85 / $95.01	Professional		$55.47	$55.85	$95.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $88.60 / $198.62	Facility		$58.85	$88.60	$198.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $57.39 / $121.56	Professional		$55.30	$57.39	$121.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $59.66 / $100.00	Facility		$53.38	$59.66	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $56.52 / $125.47	Professional		$56.52	$56.52	$125.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $52.33 / $55.47	Facility		$52.33	$52.33	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $60.18	Professional		$55.47	$55.47	$60.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $58.84 / $73.09	Professional		$54.14	$58.84	$73.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $66.56 / $122.03	Professional		$49.92	$66.56	$122.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $271.89 / $277.35	Facility		$75.00	$271.89	$277.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $239.05 / $239.05	Professional		$239.05	$239.05	$239.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $73.08 / $110.98	Professional		$55.76	$73.08	$110.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $57.69 / $94.19	Facility		$55.47	$57.69	$94.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $67.68	Professional		$55.47	$55.47	$67.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $55.47 / $83.21	Professional		$44.38	$55.47	$83.21
United Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $97.96	Professional		$55.47	$55.47	$97.96