Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $85.27 / $222.39	Facility		$37.85	$85.27	$222.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $37.85 / $45.60	Professional		$36.47	$37.85	$45.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $42.60 / $54.72	Facility		$34.88	$42.60	$54.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.76 / $77.98	Professional		$38.00	$38.76	$77.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $41.04 / $65.66	Facility		$38.76	$41.04	$65.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $42.27 / $100.00	Professional		$41.04	$42.27	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $40.28	Facility		$38.76	$38.76	$40.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $45.60	Professional		$38.00	$38.00	$45.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $81.00 / $638.07	Professional		$45.00	$81.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $201.40 / $201.40	Facility		$75.00	$201.40	$201.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $205.20	Professional		$173.28	$173.28	$205.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $40.28 / $47.69	Facility		$37.85	$40.28	$47.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $50.35	Professional		$38.76	$38.76	$50.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $49.40 / $57.00	Professional		$38.00	$49.40	$57.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $61.78	Professional		$38.00	$38.00	$61.78