Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $45.08 / $125.91	Facility		$22.54	$45.08	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.77 / $46.88	Professional		$22.54	$22.77	$46.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $36.00 / $80.70	Facility		$23.91	$36.00	$80.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $23.05 / $48.72	Professional		$22.21	$23.05	$48.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $26.10 / $49.47	Facility		$22.19	$26.10	$49.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $56.85	Professional		$22.97	$22.97	$56.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $22.54	Facility		$21.26	$21.26	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $24.45	Professional		$22.54	$22.54	$24.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.56 / $29.10	Professional		$21.51	$21.56	$29.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $27.05 / $49.14	Professional		$20.29	$27.05	$49.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $107.55 / $112.70	Facility		$75.00	$107.55	$112.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $95.19 / $95.19	Professional		$95.19	$95.19	$95.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $44.19 / $44.19	Professional		$44.19	$44.19	$44.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $23.44 / $38.56	Facility		$22.54	$23.44	$38.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.95	Professional		$22.54	$22.54	$26.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $22.54 / $33.81	Professional		$18.03	$22.54	$33.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $40.24	Professional		$22.54	$22.54	$40.24