Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $169.09 / $25,851.82	Facility		$82.08	$169.09	$25,851.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.73 / $140.72	Professional		$82.08	$82.73	$140.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $131.09 / $293.86	Facility		$87.08	$131.09	$293.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $85.00 / $188.77	Professional		$81.91	$85.00	$188.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $82.30 / $100.00	Facility		$71.50	$82.30	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $86.13 / $186.32	Professional		$83.62	$86.13	$186.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $77.43 / $82.07	Facility		$77.43	$77.43	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $89.04	Professional		$82.07	$82.07	$89.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $84.18 / $103.31	Professional		$76.53	$84.18	$103.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $98.50 / $180.00	Professional		$73.87	$98.50	$180.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $337.90 / $410.40	Facility		$101.80	$337.90	$410.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $337.90 / $337.90 / $337.90	Professional		$337.90	$337.90	$337.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $103.31 / $156.88	Professional		$76.53	$103.31	$156.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $84.54 / $139.91	Facility		$82.08	$84.54	$139.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $95.66	Professional		$82.07	$82.07	$95.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $82.08 / $123.11	Professional		$65.66	$82.08	$123.11
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $146.53	Professional		$82.08	$82.08	$146.53